Individual
DR. JULIE ANN WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
415 MULBERRY ST, EVANSVILLE, IN 47713-1230
(812) 436-4232
(812) 422-7558
Mailing address
415 MULBERRY ST, EVANSVILLE, IN 47713-1230
(812) 436-4232
(812) 422-7558
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01072786A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000823738
ANTHEM
IN
01
—
01072786A
LICENSE
IN
01
—
12563309
CAQH
IN
05
—
201167500
—
IN
01
—
MD0000049514
LICENSE
TN
Enumeration date
04/21/2010
Last updated
06/23/2014
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