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Samuel Bryan Wood
Family Nurse Practitioner in Fort Defiance, Arizona
NPI 1154835197

Samuel Bryan Wood is a Family Nurse Practitioner based in Fort Defiance, AZ and is specialized in Family. Samuel Bryan Wood practices in Fort Defiance, AZ. The NPI Number for Samuel Bryan Wood is 1154835197 and holds a License No. 00000000000 (Arizona).

The current practice location address for Samuel Bryan Wood is Corner Of Route N12 And N7, Fort Defiance, AZ and can be reached out via phone at 928-729-8600.

Location: Corner Of Route N12 And N7, Fort Defiance, AZ, 86504-0649
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154835197
Provider Name
Samuel Bryan Wood
Credential
Provider Entity Type
Individual
Gender
Male
Address
Corner Of Route N12 And N7, Fort Defiance, AZ, 86504-0649
Phone Number
928-729-8600
Fax Number
Provider Enumeration Date
11/29/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00000000000 05 VA
institution
Provider Business Practice Location Address Details
Address
Corner Of Route N12 And N7
City
Fort Defiance
State
Arizona
Zip
86504
Phone Number
928-729-8600
Fax Number
person
Provider Business Mailing Address Details
Address
Corner Of Route N12 And N7
City
Fort Defiance
State
Arizona
Zip
86504
Phone Number
928-729-8600
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
207PE0004X
License No.
APN.0997339-NP (Colorado)
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
000000000000 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Critical Care Medicine
Taxonomy
363LC0200X
License No.
000000000000 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
00000000000 (Virginia)
Definition
Definition to come...
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