Wooten, Duane

Wooten, Duane is an individual health care provider with primary practice located at 515 W Buckeye Rd Ste 306 , Phoenix AZ 85003-2650. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Wooten, Duane can be contacted 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

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 17126 Arizona

Profile Details

NPI number 1992706758
LBN Legal business name Wooten, Duane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992706758 NPPES
Arizona MEDICAID 1027011
Arizona Other AZ0260080

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