Duane M Wooten M.d. Pc | |
515 W Buckeye Rd Ste 306 Phoenix AZ 85003-2650 | |
(602) 374-4937 | |
(602) 388-4261 |
Full Name | Duane M Wooten M.d. Pc |
---|---|
Speciality | Pediatrics |
Location | 515 W Buckeye Rd Ste 306, Phoenix, Arizona |
Authorized Official Name and Position | Duane M Wooten (DIRECTOR) |
Authorized Official Contact | 6023744937 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Duane M Wooten M.d. Pc 515 W Buckeye Rd Ste 306 Phoenix AZ 85003-2650 Ph: (602) 374-4937 | Duane M Wooten M.d. Pc 515 W Buckeye Rd Ste 306 Phoenix AZ 85003-2650 Ph: (602) 374-4937 |
NPI Number | 1336243070 |
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Provider Enumeration Date | 09/12/2006 |
Last Update Date | 08/28/2024 |
Certification Date | 08/28/2024 |
Medicare PECOS PAC ID | 9133466881 |
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Medicare Enrollment ID | O20190204001110 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336243070 | NPI | - | NPPES |
270843 | Other | AZ | AHCCCS |
Provider Name | Kimberly R Stone |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1780644138 PECOS PAC ID: 2769464197 Enrollment ID: I20040601001075 |
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