Wood, Matthew J.

Wood, Matthew J. is an individual health care provider with primary practice located at 1512 12Th Ave Rd , Nampa ID 83686-6008. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Wood, Matthew J. can be contacted via phone (208) 463-5029.

Contact Information

Primary practice address
1512 12Th Ave Rd Nampa ID 83686-6008
Phone: (208) 463-5029
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 328720-1205 Utah
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X M-6494 Idaho

Profile Details

NPI number 1053481531
LBN Legal business name Wood, Matthew J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Apr 17th, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053481531 NPPES
Idaho MEDICAID 3992300

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