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NPI Code Detail

MEDICARE: AMY LYNN WOOD P.A.-C

MEDICARE: AMY LYNN WOOD P.A.-C
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
1363AM0700XMedical Physician Assistant001295IA

General Provider Information

NPI Number : 1124003009
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY LYNN WOOD P.A.-C
Provider Business Mailing Address
First Line : 406 S BUTLER ST
Second Line :
City : CORYDON
State : IA
Zip : 50060-1734
Country : US
Telephone Number : 641-872-3675
Fax Number :
Provider Business Practice Location Address
First Line : 417 S EAST ST
Second Line : SUITE #100
City : CORYDON
State : IA
Zip : 50060-1860
Country : US
Telephone Number : 641-872-2063
Fax Number : 641-872-2070
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2005
Last Update Date : 01/07/2019

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Directions to “ AMY LYNN WOOD P.A.-C” Practice Location

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