WOOD, CHAD NATHANIEL - Licensee Information

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WOOD, CHAD NATHANIEL

This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.

Practice Address:	DEPARTMENT OF HEALTH AND HUMAN SERVICES IHS - NORTHERN NAVAJO MEDICAL CENTER - SHIPROCK PO BOX 160 SHIPROCK NM 87420 Address last updated on 9/15/2011
Phone #:	(505) 368-6001
Fax #:
County:	NOT OKLAHOMA
License:	23607
Dated:	10/6/2004
Expires:	10/1/2012
License Type:	Medical Doctor
Specialty:	Family Medicine

Status:	Inactive
Status Class:	Expired License
Restricted to:
Registered to Dispense:	NO
Medical School:	Univ Of Ut Sch Of Med, Salt Lake Cty Ut 84132
Graduated:	5 / 2003
CME Year:	2013

Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.

All information below is entered by the licensee but not verified by the Oklahoma Medical Board.

Certifications:	AMERICAN BOARD OF FAMILY MEDICINE
New Patients:	Contact licensee
Medicaid:	Contact licensee
Medicare:	Contact licensee

HMO/PPO:	None listed
Hospital Privileges:	None listed

Locations:	Hours:	Languages:
DEPARTMENT OF HEALTH AND HUMAN SERVICES IHS - NORTHERN NAVAJO MEDICAL CENTER - SHIPROCK PO BOX 160 SHIPROCK NM 87420 Phone #: (505) 368-6001 Fax #:	Mon: 8:00AM - 5:00PM Tue: 8:00AM - 5:00PM Wed: Thu: 8:00AM - 5:00PM Fri: 8:00AM - 9:00PM Sat: Sun:

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