Individual
DR. BILL D. UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
227 MEDICAL PARK DR STE 103, BRIDGEPORT, WV 26330-8421
(681) 342-3500
(681) 342-3561
Mailing address
227 MEDICAL PARK DR STE 103, BRIDGEPORT, WV 26330-8421
(681) 342-3500
(681) 342-3561
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
24728
WV
207T00000X
Neurological Surgery Physician
4301070369
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000012553
CAPE HEALTH PLAN
MI
01
—
0007382674
AETNA HEALTH PLANS
MI
05
—
104744530
—
MI
01
—
700F318300
BLUE CROSS BLUE SHIELD
MI
01
—
I33602
HEALTH ALLIANCE PLAN
MI
Enumeration date
01/17/2006
Last updated
04/05/2022
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