MEDICARE: WILLIAM ROBERTS WOOD MD

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	207V00000X	Obstetrics & Gynecology Physician	35-07-8813-W	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881690626
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM ROBERTS WOOD MD

Provider Business Mailing Address
First Line	:	1 WYOMING ST
Second Line	:	SUITE 4140
City	:	DAYTON
State	:	OH
Zip	:	45409-2722
Country	:	US
Telephone Number	:	937-208-4110
Fax Number	:	937-208-6260

Provider Business Practice Location Address
First Line	:	1 WYOMING ST
Second Line	:	SUITE 4140
City	:	DAYTON
State	:	OH
Zip	:	45409-2722
Country	:	US
Telephone Number	:	937-208-4110
Fax Number	:	937-208-6260

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

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	12/16/2019

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Directions to “ WILLIAM ROBERTS WOOD MD” Practice Location

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