Organization
WOOD FAMILY MEDICINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM E WOOD MD (PHYSICIAN)
(918) 775-3857
Entity
Organization
Contact information
Practice address
409 E REDWOOD AVE, SALLISAW, OK 74955-3018
(918) 775-3857
(918) 775-0587
Mailing address
409 E REDWOOD AVE, SALLISAW, OK 74955-3018
(918) 775-3857
(918) 775-0587
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200004670A
—
OK
01
—
248311603
OK BC/BS GROUP NUMBER
OK
Enumeration date
09/27/2006
Last updated
06/21/2018
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