Healthcare Provider Details

I. General information

NPI: 1881688679
Provider Name (Legal Business Name): ALICE M WOOD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALICE HWANG-WOOD M.D.

II. Dates (important events)

Enumeration Date: 09/07/2005
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 4TH ST SW
MASON CITY IA
50401-2800
US

IV. Provider business mailing address

10350 E DAKOTA AVE
DENVER CO
80247-1314
US

V. Phone/Fax

Practice location:
  • Phone: 641-428-6320
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number04-35482
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number52127
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD25989
License Number StateOR
# 4
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number2023011939
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: