Gage Woodward
Specialist/Technologist, Athletic Trainer in Ogden, UT. Individual provider (NPI-1).
NPI number1194271007
StatusActive
Last updated in NPPESAug 31, 2016
Details
- NPI
- 1194271007
- Entity type
- Individual (NPI-1)
- Name
- Gage Woodward
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2016
- Last updated
- Aug 31, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
4587 Gramercy AveOgden, UT 84403-3019
Phone 801-391-5425
Mailing address
4587 Gramercy AveOgden, UT 84403-3019
Phone 801-391-5425
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