Individual
DAVID ALBERT WOOD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
90 HOPE DR, MOUNTAIN HOME A F B, ID 83648-1057
(208) 828-7100
Mailing address
145 N 18TH E #26, MOUNTAIN HOME, ID 83647-3179
(208) 828-7100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301077165
MI
207Q00000X
Family Medicine Physician
Primary
M8309
ID
Other
Enumeration date
04/12/2006
Last updated
07/08/2007
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