| 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 |
|---|---|
| Provider Enumeration Date | 09/12/2006 |
| Last Update Date | 08/28/2024 |
| Certification Date | 08/28/2024 |
| Medicare PECOS PAC ID | 9133466881 |
|---|---|
| Medicare Enrollment ID | O20190204001110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336243070 | NPI | - | NPPES |
| 270843 | Other | AZ | AHCCCS |
| Provider Name | Kimberly R Stone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780644138 PECOS PAC ID: 2769464197 Enrollment ID: I20040601001075 |
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