Individual
TRACI LYNN WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1915 W 5950 S, ROY, UT 84067-1454
(801) 387-8100
(801) 387-8223
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 715-8228
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8187126-1206
UT
363AM0700X
Medical Physician Assistant
8187126-1206
UT
Other
Enumeration date
01/26/2012
Last updated
10/11/2024
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