Organization
WOOD WOUND CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON STACEY WOOD JR. MD (OWNER)
(435) 713-1350
Entity
Organization
Contact information
Practice address
2380 N 400 E, SUITE H, NORTH LOGAN, UT 84341-6000
(435) 713-1350
Mailing address
2380 N 400 E, SUITE H, NORTH LOGAN, UT 84341-6000
(435) 713-1350
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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