Wood, Mark W.
Wood, Mark W. is an individual health care provider with primary practice located at 3824 S Boulevard Ste 160 , Edmond OK 73013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otology & Neurotology, which is considered as his primary health care specialty. Wood, Mark W. can be contacted via phone (405) 607-7600.Contact Information
Primary practice address
3824 S Boulevard Ste 160
Edmond OK 73013
Phone: (405) 607-7600
Fax: (405) 607-3575
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otology & Neurotology | 207YX0901X | 17414 | Oklahoma |
Profile Details
| NPI number | 1760589733 |
|---|---|
| LBN Legal business name | Wood, Mark W. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | May 15th, 2023 - about last year |
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 | 1760589733 | NPPES |
| Oklahoma | MEDICAID | 100107680A |
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