Individual
CHAD N WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 RIO VISTA DR, FALLON, NV 89406-5463
(775) 426-8276
Mailing address
699 S 45 E, VINEYARD, UT 84059-5549
(801) 602-7686
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8359118-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134642
—
AZ
05
—
54308216
—
CO
05
—
63001276
—
NM
Enumeration date
09/30/2006
Last updated
03/31/2021
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