Provider Demographics
NPI:1740377696
Name:WOOD, SCOTT H (MD)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:H
Last Name:WOOD
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Gender:M
Credentials:MD
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Mailing Address - Street 1:401 BURGESS DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-3408
Mailing Address - Country:US
Mailing Address - Phone:650-325-9955
Mailing Address - Fax:650-325-1295
Practice Address - Street 1:401 BURGESS DR
Practice Address - Street 2:SUITE B
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-3408
Practice Address - Country:US
Practice Address - Phone:650-325-9955
Practice Address - Fax:650-325-1295
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAG48993207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA51238Medicare UPIN