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NPI Code Detail

MEDICARE: SAMUEL THOMAS WOOD DO

MEDICARE: SAMUEL THOMAS WOOD DO
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
1208000000XPediatrics Physician0602ROK

General Provider Information

NPI Number : 1447936471
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMUEL THOMAS WOOD DO
Provider Business Mailing Address
First Line : 3000 N GRAND BLVD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73107-1818
Country : US
Telephone Number : 405-632-6688
Fax Number :
Provider Business Practice Location Address
First Line : 1025 STRAKA TER
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73139-2544
Country : US
Telephone Number : 405-632-6688
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2023
Last Update Date : 06/10/2026

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