Individual
DR. JEREMY WAYNE WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
4580 S EASTERN AVE, SUITE 30, LAS VEGAS, NV 89119-6100
(702) 731-3338
(702) 731-3341
Mailing address
4580 S EASTERN AVE, SUITE 30, LAS VEGAS, NV 89119-6100
(702) 731-3338
(702) 731-3341
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0307
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100503070
—
NV
01
—
P00257221
RAILROAD MEDICARE ID #
NV
Enumeration date
03/23/2006
Last updated
05/15/2012
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