Dr. Gordon Stacey Wood
Plastic Surgeon (Head & Neck)
1219 N 400 E
Logan
, Utah 84341-2321
Dr. Gordon Stacey Wood
Plastic Surgeon (Head & Neck)
1219 N 400 E
Logan
, Utah 84341-2321
(435) 753-5845
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About
Features
Specialties
- Plastic Surgeon (Head & Neck)
Languages spoken
- English
Location
First Address
- Dr. Gordon Stacey Wood
- 2380 N 400 E Suite #d
- North Logan, UT
- Zip : 84341-1749
- Fax : (435) 753-5845
- Phone : (435) 753-7880
Second Address
- Dr. Gordon Stacey Wood
- 1219 N 400 E
- Logan, UT
- Zip : 84341-2321
- Phone : (435) 565-6043
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 185282-1205 | UT |
National Provider Identifier
| NPI | 1255328969 |
|---|---|
| Provider Name | Dr. Gordon Stacey Wood |
| First Address | North Logan, UT 84341-1749 |
| Second Address | Logan, UT 84341-2321 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/09/2005 |
| Last Update Date | 10/01/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.