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Individual

DR. JOHN LAWRENCE WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1840 AMHERST ST, WINCHESTER, VA 22601-2808
(540) 536-8750
Mailing address
PO BOX 880, LIMA, OH 45802-0880

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101038806
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007211431
VA
05
0123959000
WV
01
300067937
RAILROAD MEDICARE
05
403041900
MD
Enumeration date
10/10/2005
Last updated
01/17/2013
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