MEDICARE: DR CHRISTOPHER R WOOD PC

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	111NS0005X	Sports Physician Chiropractor	5233	AZ

General Provider Information

NPI Number	:	1528267234
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR CHRISTOPHER R WOOD PC

Provider Business Mailing Address
First Line	:	4550 E BELL RD
Second Line	:	BLDG 6 STE 152
City	:	PHOENIX
State	:	AZ
Zip	:	85032-9382
Country	:	US
Telephone Number	:	602-258-9663
Fax Number	:	602-258-9664

Provider Business Practice Location Address
First Line	:	4550 E BELL RD
Second Line	:	BLDG 6 STE 152
City	:	PHOENIX
State	:	AZ
Zip	:	85032-9382
Country	:	US
Telephone Number	:	602-258-9663
Fax Number	:	602-258-9664

Authorized Official
Title or Position	:	PRES
Name	:	DR. CHRISTOPHER R WOOD
Credential	:	DC
Telephone Number	:	602-258-9663

Provider Enumeration Date	:	07/12/2007
Last Update Date	:	12/21/2023

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