Doctor Name: | AMY LYNN WOOD |
NPI Number: | 1124003009 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.A.-C |
License Number: | 001295 |
Business Practice Address: | 417 S East St Suite #100 Corydon, IA - 500601860 |
Business Phone Number: | 6418722063 |
Business Fax Number: | 6418722070 |
Mailing Address: | 406 S Butler St, CORYDON |
State: | IA |
Postal Code: | 500601734 |
Phone Number: | 6418723675 |
Fax Number: | |
NPI Enumeration Date: | 12/13/2005 |
NPI Last Update Date: | 10/31/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 001295 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |