Eric T. Wooten, D.o., Psc

NPI 1063660405 - Surgery - 208600000X

NPI Details
NPI 1063660405
Enumeration Date 08/27/2008
Last Updated 01/06/2009
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name ERIC T. ERIC
Position PRESIDENT
Phone (270) 842-1669
Fax (270) 843-1911
Practice Location
1325 ANDREA ST
STE. 209
BOWLING GREEN KY, 42104-5852, US
Phone (270) 842-1669
Fax (270) 843-1911
Business Location
1325 ANDREA ST
STE. 209
BOWLING GREEN KY, 42104-5852, US
Phone (270) 842-1669
Fax (270) 843-1911
Toxanomy
Taxonomy Code 208600000X
License State
License Number
Remove 1063660405 NPI Number
 

According to our database, Eric T. Wooten, D.o., Psc NPI is 1063660405, taxonomy code is 208600000X Eric T. Wooten, D.o., Psc physically located at 1325 Andrea St, Bowling Green KY, 42104-5852. NPI Number 1033115704 has the healthcare provider type.

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1063660405 NPI number is provided on an as is basis without warranty of any kind. 1063660405 is maintained by the National Plan & Provider Enumeration System. The contents of Eric T. Wooten, D.o., Psc are for informational purposes only.