Mark Edwin Woolley DPM

NPI 1629213780 - Podiatrist - 213ES0103X

NPI Details
NPI 1629213780
Gender Male
Enumeration Date 12/03/2008
Last Updated 11/23/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
6028 S RIDGELINE DRIVE
SUITE 205
OGDEN UT, 84405-6914, US
Phone (801) 409-2100
Fax (801) 475-5286
Business Location
6028 S RIDGELINE DRIVE
SUITE 205
OGDEN UT, 84405-6914, US
Phone (801) 409-2100
Fax (801) 475-6169
Toxanomy
Taxonomy Code 213ES0103X
License State Arizona
License Number 0718
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According to our database, Mark Edwin Woolley DPM NPI is 1629213780, taxonomy code is 213ES0103X and license number is 0718, license state is located at Arizona. Mark Edwin Woolley DPM physically located at 6028 S Ridgeline Drive, Ogden UT, 84405-6914. NPI Number Mark Edwin Woolley DPM has the Individual type.

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1629213780 NPI number is provided on an as is basis without warranty of any kind. 1629213780 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Edwin Woolley DPM are for informational purposes only.