Wood, Gordon Stacey

Wood, Gordon Stacey is an individual health care provider with primary practice located at 1219 N 400 E , Logan UT 84341-2321. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, which is considered as his primary health care specialty. Wood, Gordon Stacey can be contacted via phone (435) 565-6043.

Contact Information

Primary practice address
1219 N 400 E Logan UT 84341-2321
Phone: (435) 565-6043
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X 185282-1205 Utah

Profile Details

NPI number 1255328969
LBN Legal business name Wood, Gordon Stacey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Jan 10th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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