Individual
ZACHARY THOMAS WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5121 S COTTONWOOD ST, SALT LAKE CITY, UT 84107-5701
(801) 507-6415
Mailing address
PO BOX 27128, SLC, UT 84127-0128
(801) 507-6415
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12943238-1206
UT
Other
Enumeration date
03/11/2014
Last updated
12/10/2024
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