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Individual

DR. TOM ALAN WOLVOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3501 N SCOTTSDALE RD, STE 234, SCOTTSDALE, AZ 85251-5649
(480) 421-1991
(480) 421-1996
Mailing address
3501 N SCOTTSDALE RD, STE 234, SCOTTSDALE, AZ 85251-5649
(480) 421-1991
(480) 421-1996

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
27673
AZ
208600000X
Surgery Physician
27673
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
861017961
FED TAX ID
Enumeration date
08/16/2005
Last updated
03/22/2012
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