Individual
ROBERT DANIEL WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5235 HHR RANCH RD, WILSON, WY 83014-9210
(307) 739-7696
(307) 739-4877
Mailing address
PO BOX 428, JACKSON, WY 83001-0428
(307) 739-7696
(307) 739-4877
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1417
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141422400
—
WY
Enumeration date
09/25/2012
Last updated
05/26/2021
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