Individual
STEVEN W. WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
NAVAL HEALTH CLINIC QUANTICO, QUANTICO, VA 22134-6050
(703) 784-5541
Mailing address
15 RYLAND RD, STAFFORD, VA 22556-1266
(540) 286-1940
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710I1002X
INDEPENDENT DUTY CORPSMAN
VA
Enumeration date
03/08/2006
Last updated
09/20/2007
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