Individual
DR. JACKSON J WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1525 W 2100 S, SALT LAKE CITY, UT 84119-1401
(801) 213-9900
Mailing address
PO BOX 510708, SALT LAKE CITY, UT 84151-0708
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
157959-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05118
—
UT
Enumeration date
08/29/2006
Last updated
12/15/2014
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