Wood, Samuel Bryan

Wood, Samuel Bryan is an individual health care provider with primary practice located at Corner Of Route N12 And N7 , Fort Defiance AZ 86504. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Wood, Samuel Bryan can be contacted via phone (928) 729-8600.

Contact Information

Primary practice address
Corner Of Route N12 And N7 Fort Defiance AZ 86504
Phone: (928) 729-8600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 00000000000 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 000000000000 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X 000000000000 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN.0997339-NP Colorado

Profile Details

NPI number 1154835197
LBN Legal business name Wood, Samuel Bryan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2017
Last updated Oct 28th, 2019 - about 5 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 1154835197 NPPES
Virginia MEDICAID 00000000000

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