NPI 1114409455

Thomas Wood, PAC

Practitioner Physician Assistant Buckhannon, WV

Practice location

Address: 10 Amalia Dr, Buckhannon, WV 26201-2271
Phone: (304) 460-7979

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1114409455
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Sep 2018
Record last updated: 4 Sep 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.