Individual
MICHAEL M WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1925 E ORMAN AVE, SUITE 535A, PUEBLO, CO 81004-3537
(719) 564-0450
(719) 564-1659
Mailing address
1925 E ORMAN AVE, SUITE 535A, PUEBLO, CO 81004-3537
(719) 564-0450
(719) 564-1659
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25299
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01252998
—
CO
Enumeration date
08/16/2006
Last updated
04/29/2008
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