MEDICARE: DR. JULIE ANNE WOOD M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	8208	MT

General Provider Information

NPI Number	:	1831163757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIE ANNE WOOD M.D.

Provider Business Mailing Address
First Line	:	45 OLD HIGHWAY 89
Second Line	:
City	:	FAIRFIELD
State	:	MT
Zip	:	59436-9347
Country	:	US
Telephone Number	:	406-467-3933
Fax Number	:

Provider Business Practice Location Address
First Line	:	45 OLD HIGHWAY 89
Second Line	:
City	:	FAIRFIELD
State	:	MT
Zip	:	59436-9347
Country	:	US
Telephone Number	:	406-467-3933
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2006
Last Update Date	:	03/20/2020

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