Organization
SAMUEL T WOOD, DPM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WOOD DPM (OWNER)
(314) 921-1020
Entity
Organization
Contact information
Practice address
662 SAINT FERDINAND ST, FLORISSANT, MO 63031-5125
(314) 921-1020
(314) 921-2450
Mailing address
PO BOX 771470, SAINT LOUIS, MO 63177-2470
(314) 989-0300
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000820
MO
Other
Enumeration date
01/31/2007
Last updated
02/26/2018
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