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Contact Information

SAMUEL B WOOD
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ86504
 Phone: 928-729-8600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Acute Care

363LA2100X 50 Nurse Practitioner
 

Critical Care Medicine

363LC0200X 50 Nurse Practitioner
 

Emergency Medical Services

207PE0004X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for SAMUEL B WOOD · (Male)

NPI Number 1154835197
Status Active
Credentials
Entity Individual
Enumeration date 11/29/2017
Last updated 10/28/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CO License # APN.0997339-NP
  • VA License # 00000000000
  • VA License # 000000000000
  • VA Medicaid 00000000000
Hospital affiliation(s)
  • CENTURA HEALTH-ST MARY CORWIN MEDICAL CENTER - (Acute Care)
    1008 MINNEQUA AVE
    PUEBLO, CO 81004
  • FORT DEFIANCE INDIAN HOSPITAL - (Acute Care)
    PO BOX 649
    FORT DEFIANCE, AZ 86504
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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