Individual
MR. BRYAN WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
212 SW 147TH ST, OKLAHOMA CITY, OK 73170-7268
(405) 249-9056
Mailing address
212 SW 147TH ST, OKLAHOMA CITY, OK 73170-7268
(405) 249-9056
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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