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General NPI Number Information
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NPI Number | 1871586685
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Entity Type | Individual
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Provider Name | DAVID L WOOD MD
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Gender | Male
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Dates
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Enumeration Date | 08/26/2005
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 8111 E THOMAS RD STE 100
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-5876
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Country | US
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Telephone | 480-907-7572
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Fax |
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Provider Business Mailing Address
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Address Line | 6529 N CENTRAL AVE
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City | PHOENIX
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State | AZ
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Zip | 85012-1139
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Country | US
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Telephone | 602-769-3915
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 0101282370
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 35449
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License Number State | AZ
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