<Unavail>

LBN: Duane M Wooten M.D. Pc
<Unavail> is an health care organization with primary practice located at 515 W Buckeye Rd Ste 306 , Phoenix AZ 85003-2650. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Duane M Wooten M.D. Pc can be contacted via phone (602) 374-4937, or through Wooten, Duane M via phone (602) 374-4937.

Contact Information

Primary practice address
515 W Buckeye Rd Ste 306 Phoenix AZ 85003-2650
Phone: (602) 374-4937
Fax: (602) 388-4261
Website:
Map and Directions
Authorized official contact:
Name: Wooten, Duane M Doctor of Medicine (MD)
Phone: (602) 374-4937

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1336243070
LBN Legal business name Duane M Wooten M.D. Pc
DBA Doing business as <Unavail>
Authorized official Wooten, Duane M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Aug 28th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336243070 NPPES
Arizona Other 270843 AHCCCS

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