Provider Demographics
NPI:1336145184
Name:WOOD, JAMES B (MD)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:B
Last Name:WOOD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:572 RIO LINDO AVE
Mailing Address - Street 2:STE 203
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926
Mailing Address - Country:US
Mailing Address - Phone:530-342-4860
Mailing Address - Fax:530-342-4844
Practice Address - Street 1:572 RIO LINDO AVE
Practice Address - Street 2:STE 203
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926
Practice Address - Country:US
Practice Address - Phone:530-342-4860
Practice Address - Fax:530-342-4844
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-27
Last Update Date:2013-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA22858208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A228580Medicaid
CAA22858OtherCA STATE
CAA22858OtherCA STATE
CA00A228580Medicaid