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Individual

DAVID L WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2801 ATLANTIC AVE, LONG BEACH, CA 90806-1701
(562) 933-1550
Mailing address
2801 ATLANTIC AVE, LONG BEACH, CA 90806-1701
(562) 933-1550

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101282370
VA
2085R0202X
Diagnostic Radiology Physician
Primary
A70599
CA
2085R0204X
Vascular & Interventional Radiology Physician
35449
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010094631
VA
05
113834
AZ
01
138582
ANTHEM
VT
05
3893294
TN
01
4085050
BCBS
TN
01
P00131105
PGBA (RR MEDICARE)
01
R06903
JOHN DEERE
TN
01
Z148084
PTAN
AZ
01
Z214287
MEDICARE PTAN
AZ
Enumeration date
08/26/2005
Last updated
05/06/2026
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