Ellen Wood
Pediatrician Pediatric Nephrologist
1465 S Grand Blvd
StLouis
, Missouri 63104-1003
Ellen Wood
Pediatrician Pediatric Nephrologist
1465 S Grand Blvd
StLouis
, Missouri 63104-1003
(314) 977-6872
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About
Features
Specialties
- Pediatrician
- Pediatric Nephrologist
Languages spoken
- English
Location
First Address
- Ellen Wood
- 3691 Rutger Ave
- St. Louis, MO
- Zip : 63110-2515
- Fax : (314) 977-6872
- Phone : (314) 977-6828
Second Address
- Ellen Wood
- 1465 S Grand Blvd
- St. Louis, MO
- Zip : 63104-1003
- Fax : (314) 577-5379
- Phone : (314) 268-4101
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | R7B94 | MO |
| Y | 2080P0210X | Pediatric Nephrologist | R7B94 | MO |
National Provider Identifier
| NPI | 1568471183 |
|---|---|
| Provider Name | Ellen Wood |
| First Address | St. Louis, MO 63110-2515 |
| Second Address | St. Louis, MO 63104-1003 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/08/2006 |
| Last Update Date | 16/09/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.