person
Bonnie Lynn Wood, PA
Medical Physician Assistant in St George, Utah
NPI 1457610255

Bonnie Lynn Wood is a Medical Physician Assistant based in St George, UT and is specialized in Medical. Bonnie Lynn Wood practices in St George, UT and has the professional credentials of PA. The NPI Number for Bonnie Lynn Wood is 1457610255 and holds a License No. 8250781-1206 (Utah).

The current practice location address for Bonnie Lynn Wood is 1036 E Riverside Dr, St George, UT and can be reached out via phone at 435-656-0022 and via fax at 435-634-8166.

Location: 1036 E Riverside Dr, St George, UT, 84790-4477
person
Provider Profile Details
NPI Number
1457610255
Provider Name
Bonnie Lynn Wood
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1036 E Riverside Dr, St George, UT, 84790-4477
Phone Number
435-656-0022
Fax Number
435-634-8166
Provider Enumeration Date
05/14/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8750781-1206 01 UT STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1036 E Riverside Dr
City
State
Zip
84790-4477
Phone Number
435-656-0022
Fax Number
435-634-8166
person
Provider Business Mailing Address Details
Address
1036 E Riverside Dr
City
State
Zip
84790-4477
Phone Number
435-656-0022
Fax Number
435-634-8166
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
8250781-1206 (Utah)
Definition
Definition to come...
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