Provider Demographics
NPI:1053329292
Name:WOOD, CHRISTOPHER RAY (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:RAY
Last Name:WOOD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4550 E BELL RD
Mailing Address - Street 2:BLD. 6 STE.162
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-9306
Mailing Address - Country:US
Mailing Address - Phone:602-258-9663
Mailing Address - Fax:602-258-9664
Practice Address - Street 1:4550 E BELL RD
Practice Address - Street 2:BLD. 6 STE. 152
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-9306
Practice Address - Country:US
Practice Address - Phone:602-258-9663
Practice Address - Fax:602-258-9664
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5233111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ71226Medicare PIN
AZU70427Medicare UPIN