Individual
MS. CHELSEA WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
617 E RIVERSIDE DR STE 103, ST GEORGE, UT 84790-8720
(435) 218-7779
Mailing address
266 S MEGOZZO DR, ST GEORGE, UT 84770-1395
(208) 715-1019
(208) 939-5010
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA-1481
ID
363A00000X
Physician Assistant
PAC0938
ND
363AM0700X
Medical Physician Assistant
Primary
9225187-1206
UT
363AM0700X
Medical Physician Assistant
PA53588
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PAC0938
STATE LICENSE
ND
Enumeration date
01/06/2015
Last updated
05/16/2024
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