SAMUEL BRYAN WOOD

FORT DEFIANCE, AZ
NPI1154835197
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CO  APN.0997339-NP)
Additional Taxonomies207PE0004X Emergency Medicine, Emergency Medical Services
(Licence: VA  00000000000)
363LA2100X Nurse Practitioner, Acute Care
(Licence: VA  000000000000)
363LC0200X Nurse Practitioner, Critical Care Medicine
(Licence: VA  000000000000)
Enumeration Date2017-11-29
Last Update Date2019-10-28
Business Address
SAMUEL BRYAN WOOD
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Phone number: 928-729-8600
Mailing Address
SAMUEL BRYAN WOOD
PO BOX 649
FORT DEFIANCE, AZ 86504-0649
Phone number: