Gordon Stacey Wood in North Logan - Plastic Surgery Within The Head & Neck
Gordon Stacey Wood - NPI 1255328969
Gordon Stacey Wood is a Plastic Surgery Within The Head & Neck in North Logan, Utah. Gordon Stacey Wood practices all healthcare services and medical treatments related to Plastic Surgery Within The Head & Neck. The NPI Number for Gordon Stacey Wood is 1255328969. The last update date is 2022-01-10.
Gordon Stacey Wood's current location address is 2380 N 400 E, North Logan, Utah. You can contact this provider via phone number 4357537880 and fax number 4357535845. The mailing address for Gordon Stacey Wood is 2380 N 400 E, North Logan, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gordon Stacey Wood |
|---|---|
| Address | 2380 N 400 E, North Logan, Utah |
| Phone Number | 4357537880 |
| Fax Number | 4357535845 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1255328969 |
|---|---|
| Provider Enumeration Date | 2005-09-29 |
| Last Updated Date | 2022-01-10 |
Provider Mailing Address Detail
| Address | 2380 N 400 E |
|---|---|
| City | North Logan |
| State | Utah (UT) |
| Post Code | 843411749 |
| Phone Number | 4357537880 |
| Fax Number | 4357535845 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery Within The Head & Neck |
|---|---|
| Taxonomy | 207Yx0007X |
| Licence No | 185282-1205 |
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Definition: An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissu |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Gordon Stacey Wood by the Centers for Medicare & Medicaid Services?
The Gordon Stacey Wood has been issued the NPI (National Provider Identifier) 1255328969, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Gordon Stacey Wood's facilities are situated?
The facilities of Gordon Stacey Wood are physically located at the following address: 2380 N 400 E, North Logan, UT, 843411749.
What is the Gordon Stacey Wood's specialty and taxonomy code?
The Gordon Stacey Wood's specialty is Plastic Surgery Within The Head & Neck, and the corresponding taxonomy code is 207Yx0007X.
On what date did the Gordon Stacey Wood receive the assignment of its 1255328969 from the Centers for Medicare & Medicaid Services?
The Gordon Stacey Wood was issued its 1255328969 by the Centers for Medicare & Medicaid Services on 2005-09-29.
As of what date were the Gordon Stacey Wood's details last updated?
The information pertaining to the Gordon Stacey Wood, including its address, specialty, and other details, was most recently updated on 2022-01-10.
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