Wood, Gary Lee
Wood, Gary Lee is an individual health care provider with primary practice located at 3900 Capital Mall Dr Sw , Olympia WA 98502-8654. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wood, Gary Lee can be contacted via phone (360) 754-5858.Contact Information
Primary practice address
3900 Capital Mall Dr Sw
Olympia WA 98502-8654
Phone: (360) 754-5858
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD60403656 | Washington |
Profile Details
| NPI number | 1992709604 |
|---|---|
| LBN Legal business name | Wood, Gary Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Nov 8th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992709604 | NPPES |
| Washington | MEDICAID | 2030512 | |
| Washington | MEDICAID | 537764 |
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