Individual
MR. DAKOTA BLAKE WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 HOSPITAL PLZ, STAMFORD, CT 06902-3602
(203) 276-7070
(203) 276-5565
Mailing address
1 HOSPITAL PLZ, STAMFORD, CT 06902-3602
(203) 276-7070
(203) 276-5565
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
023849
NY
363AM0700X
Medical Physician Assistant
Primary
6689
CT
Other
Enumeration date
08/13/2019
Last updated
11/18/2024
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