Individual
MARK W. WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3824 S BOULEVARD STE 160, EDMOND, OK 73013
(405) 607-7600
(405) 607-3575
Mailing address
3033 NW 63RD ST STE 152E, OKLAHOMA CITY, OK 73116-3607
(405) 755-6651
(405) 755-2795
Taxonomy
Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
17414
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100107680A
—
OK
Enumeration date
09/20/2006
Last updated
05/15/2023
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