Individual
DR. SAMUEL T WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304708514
—
MO
Enumeration date
08/24/2005
Last updated
12/10/2021
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