Individual
WALTER S WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
810 N 22ND ST, BLAIR, NE 68008-1128
(402) 426-2182
(402) 426-1190
Mailing address
9824 PIERCE ST, OMAHA, NE 68124-1150
(402) 553-5099
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21916
NE
207Q00000X
Family Medicine Physician
34081
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35466
BCBS
—
05
—
6238063
—
IA
Enumeration date
05/12/2006
Last updated
01/04/2018
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