Individual
DR. CARRIE ANN WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2307 S GORDON COOPER DR, SHAWNEE, OK 74801
(405) 273-5236
Mailing address
2307 S GORDON COOPER DR, SHAWNEE, OK 74801
(405) 273-5236
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23267
LA
207R00000X
Internal Medicine Physician
Primary
25980
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G0715
—
NM
Enumeration date
01/09/2006
Last updated
10/10/2011
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