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Individual

MICHAEL WOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1051 LOFTIS BLVD STE 100, NEWPORT NEWS, VA 23606-3069
(757) 873-9839
Mailing address
6350 CENTER DR STE 200, NORFOLK, VA 23502-4107
(757) 905-5558

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110009266
VA

Other

Enumeration date
06/04/2020
Last updated
01/31/2024
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