Individual
BONNIE LYNN WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1036 E RIVERSIDE DR, ST GEORGE, UT 84790-4477
(435) 656-0022
(435) 634-8166
Mailing address
1036 E RIVERSIDE DR, ST GEORGE, UT 84790-4477
(435) 656-0022
(435) 634-8166
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
8250781-1206
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8750781-1206
STATE LICENSE NUMBER
UT
Enumeration date
05/14/2012
Last updated
05/14/2012
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