Individual
DR. GORDON STACEY WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1219 N 400 E, LOGAN, UT 84341-2321
(435) 565-6043
Mailing address
2380 N 400 E, SUITE #D, NORTH LOGAN, UT 84341-1749
(435) 753-7880
(435) 753-5845
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
185282-1205
UT
Other
Enumeration date
09/29/2005
Last updated
01/10/2022
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