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Individual

DR. DANIEL JOSEPH WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1306 KANAWHA BLVD E, SUITE 100, CHARLESTON, WV 25301-3001
(304) 342-1113
(304) 346-2271
Mailing address
1306 KANAWHA BLVD E, SUITE 100, CHARLESTON, WV 25301-3001
(304) 342-1113
(304) 346-2271

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
16761
WV
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
16761
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0114153000
WV
Enumeration date
08/31/2005
Last updated
03/10/2009
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