Individual
GREGORY K WOOD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1307 LAFAYETTE, MOUNDSVILLE, WV 26041-2316
(304) 845-2500
(304) 845-2624
Mailing address
1307 LAFAYETTE AVENUE, MOUNDSVILLE, WV 26041-2316
(304) 845-2500
(304) 845-2624
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1248
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000617588
BC
—
05
—
0042806000
—
WV
05
—
0805945
—
OH
Enumeration date
04/08/2006
Last updated
07/08/2007
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