NPI 1255328969

Gordon Stacey Wood, MD

Practitioner Plastic Surgery within the Head & Neck (Otolaryngology) Physician Logan, UT

Practice location

Address: 1219 N 400 E, Logan, UT 84341-2321
Phone: (435) 565-6043
Mailing address: 2380 N 400 E Suite #d, North Logan, UT 84341-1749

Registered specialties

Plastic Surgery within the Head & Neck (Otolaryngology) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207YX0007X Licence 185282-1205 (UT)

Other Otolaryngology providers in Utah →

Registry record

NPI: 1255328969
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Sep 2005
Record last updated: 10 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.