Individual
MR. RONALD ALLAN WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 KATHERINE AVE, JOPLIN, MO 64801-5888
(417) 529-5833
(417) 206-4113
Mailing address
PO BOX 714, JOPLIN, MO 64802-0714
(417) 529-5833
(417) 206-4113
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
168076
BLUE CROSS BLUE SHIELD
MO
Enumeration date
10/23/2006
Last updated
07/09/2007
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