Provider / Organization | NPI | Date Certified |
---|---|---|
BRIAN MICHAEL WOOD | 1396471348 | 2022-07-30 |
Brian Michael Wood is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1396471348. Registration indicates Brian Michael Wood is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
Entity Type | Individual |
Provider Name | Brian Michael Wood PA-C |
Practice Office Address | 4951 S WHITE MOUNTAIN RD BLDG A SHOW LOW, AZ US |
Practice Office Telephone | 9285371605 |
Practice Office Fax | 9285379581 |
Mailing Address | 4951 S WHITE MOUNTAIN RD BLDG A SHOW LOW, AZ 859017827 US |
Code | Practice | License No State |
---|---|---|
363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | 9428
AZ |