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1255328969
GORDON STACEY WOOD
LOGAN, UT
NPI
1255328969
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck
(Licence: UT 185282-1205)
Enumeration Date
2005-09-29
Last Update Date
2022-01-10
Business Address
Dr. GORDON STACEY WOOD M.D.
1219 N 400 E
LOGAN, UT 84341-2321
Phone number: 435-565-6043
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Mailing Address
Dr. GORDON STACEY WOOD M.D.
2380 N 400 E SUITE #D
NORTH LOGAN, UT 84341-1749
Phone number: 435-753-7880
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