Individual
ETHAN SCOTT WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3959 STADIUM WAY OGDEN UT 84408; PH: 801-626-7210, OGDEN, UT 84408-0001
(801) 626-7210
Mailing address
3959 STADIUM WAY OGDEN UT 84408; PH: 801-626-7210, OGDEN, UT 84408-0001
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/01/2025
Last updated
09/01/2025
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