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Individual

TERRY CRAVEN WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7645 W DONALD DR, PEORIA, AZ 85383-3142
(623) 640-8070
Mailing address
7645 W DONALD DR, PEORIA, AZ 85383-3142
(623) 640-8070

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
7533
AZ
363AM0700X
Medical Physician Assistant
Primary
7533
AZ

Other

Enumeration date
07/08/2019
Last updated
07/24/2025
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