Individual
DR. WILLIAM E WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
213 E REDWOOD AVE, SALLISAW, OK 74955-2811
(918) 774-1100
(918) 774-1103
Mailing address
213 E REDWOOD AVE, SALLISAW, OK 74955-2811
(918) 774-1100
(918) 774-1103
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
20449
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-0763770
TAX ID
OK
05
—
100091950A
—
OK
05
—
200004570A
—
OK
01
—
248311603
OK BC/BS GROUP NUMBER
OK
01
—
441186602003
OK BC/BS INDIVIDUAL
OK
Enumeration date
08/02/2006
Last updated
06/04/2014
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