Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 2011014314 | MO |
NPI | 1619177680 |
---|---|
Provider Name | Dr. Sara C Wood |
First Address | Saint Louis, MO 63141-8232 |
Second Address | Saint Louis, MO 63141 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2007 |
Last Update Date | 06/09/2018 |