Individual
JOSIE NICOLE WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
96 N 100 W, MANILA, UT 84046
(435) 784-3575
Mailing address
823 N MAIN ST, FARMINGTON, UT 84025-3608
(801) 540-8734
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
03/22/2023
Last updated
08/23/2023
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