Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GORDON STACEY WOOD, M.D.
ActiveDR. GORDON STACEY WOOD, M.D. is a Plastic Surgery within the Head & Neck healthcare provider located in LOGAN, Utah. NPI 1255328969 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery within the Head & Neck · LOGAN, UT
Registration Details
- NPI Number
- 1255328969
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 29, 2005 (20.897091907403 yrs)
- Last Updated
- Jan 10, 2022
- License
-
185282-1205 (UT)
Practice Information
- Address
-
1219 N 400 ELOGAN, UT, 843412321Browse UT providers · Browse ZIP 84341
- Phone
- 4355656043
- Primary Specialty
-
Plastic Surgery within the Head & Neck
207YX0007X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.