Individual
DR. TYRONE KEITH WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
10691
SC
207L00000X
Anesthesiology Physician
Primary
8903
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089031
—
SC
Enumeration date
08/16/2005
Last updated
11/02/2016
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