Matthew J. Wood
Anesthesiologist Vascular Surgeon
1512 12th Ave Rd
Nampa
, Idaho 83686-6008
Matthew J. Wood
Anesthesiologist Vascular Surgeon
1512 12th Ave Rd
Nampa
, Idaho 83686-6008
(208) 463-5029
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About
Features
Specialties
- Anesthesiologist
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Matthew J. Wood
- 1512 12th Ave Rd
- Nampa, ID
- Zip : 83686-6008
- Phone : (208) 463-5029
Second Address
- Matthew J. Wood
- 1512 12th Ave Rd
- Nampa, ID
- Zip : 83686-6008
- Phone : (208) 463-5029
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207L00000X | Anesthesiologist | M-6494 | ID |
| N | 2086S0129X | Vascular Surgeon | 328720-1205 | UT |
National Provider Identifier
| NPI | 1053481531 |
|---|---|
| Provider Name | Matthew J. Wood |
| First Address | Nampa, ID 83686-6008 |
| Second Address | Nampa, ID 83686-6008 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/11/2006 |
| Last Update Date | 17/04/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3992300 | (05) | ID |
| F89342 | (02) | ID |
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.