Individual
DR. JONATHAN RODGER WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 487-0451
(801) 487-2467
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
2019039191
MO
2085R0202X
Diagnostic Radiology Physician
Primary
12974760-1205
UT
2085R0202X
Diagnostic Radiology Physician
2019039191
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200089878
—
MO
Enumeration date
06/08/2009
Last updated
09/04/2025
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