Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MD60395018 | WA |
N | 207RC0000X | Internist - Cardiovascular Disease | MD60395018 | WA |
NPI | 1487821344 |
---|---|
Provider Name | Gregory A Wood |
First Address | Seattle, WA 98195-6422 |
Second Address | Seattle, WA 98195-6422 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2008 |
Last Update Date | 14/08/2017 |