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Contact Information

ROBERT A WOOD, PA-C
1919 LATHROP ST
FAIRBANKS, AK99701-5937
 Phone: 907-459-3500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ROBERT A WOOD · (Male)

NPI Number 1457329542
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 03/14/2006
Last updated 12/31/2018 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • AK License # 139988
  • WA License # PA10003794
  • ID Medicaid 003783300
  • WA Medicaid 8387359
  • ID Other KQ506 BLUE CROSS OF IDAHO
  • ID Other 000010017647 REGENCE BLUE SHIELD OF ID
  • WA Other WO4266 ASURIS NW HEALTH
  • WA Other 8929877 CRIME VICTIMS
  • WA Other 149074 DEPT OF LABOR & INDUSTRI
  • WA Other 15388 GROUP HEALTH NW
  • WA Other 379109600 OWCP
  • WA Other 970019578 RR MEDICARE
Hospital affiliation(s) Not Available
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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