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NPI Code Detail

MEDICARE: DR. JEREMY WAYNE WOOD D.P.M.

MEDICARE: DR. JEREMY WAYNE WOOD D.P.M.
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
1213ES0103XFoot & Ankle Surgery Podiatrist0307NV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00257221OTHERNVRAILROAD MEDICARE ID #

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831159128
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEREMY WAYNE WOOD D.P.M.
Provider Business Mailing Address
First Line : 4580 S EASTERN AVE
Second Line : SUITE 30
City : LAS VEGAS
State : NV
Zip : 89119-6100
Country : US
Telephone Number : 702-731-3338
Fax Number : 702-731-3341
Provider Business Practice Location Address
First Line : 4580 S EASTERN AVE
Second Line : SUITE 30
City : LAS VEGAS
State : NV
Zip : 89119-6100
Country : US
Telephone Number : 702-731-3338
Fax Number : 702-731-3341
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2006
Last Update Date : 05/15/2012

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Directions to “ DR. JEREMY WAYNE WOOD D.P.M.” Practice Location

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