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Individual

DR. GARY LEE WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3900 CAPITAL MALL DR SW, OLYMPIA, WA 98502-8654
(360) 754-5858
Mailing address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1374

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD60403656
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2030512
WA
05
537764
AZ
Enumeration date
06/09/2005
Last updated
11/08/2018
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