Provider Demographics
NPI:1417338161
Name:WOOD, ADAM BOWEN (DPM)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:BOWEN
Last Name:WOOD
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1248 E 90 N STE 101
Mailing Address - Street 2:
Mailing Address - City:AMERICAN FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84003-2954
Mailing Address - Country:US
Mailing Address - Phone:801-756-4200
Mailing Address - Fax:801-756-8252
Practice Address - Street 1:1248 E 90 N STE 101
Practice Address - Street 2:
Practice Address - City:AMERICAN FORK
Practice Address - State:UT
Practice Address - Zip Code:84003-2954
Practice Address - Country:US
Practice Address - Phone:801-756-4200
Practice Address - Fax:801-756-8252
Is Sole Proprietor?:No
Enumeration Date:2015-06-17
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10891203-0501213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery