Individual
JASON DANIEL WOOLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9350 E 35TH ST N STE 103, WICHITA, KS 67226-2022
(316) 858-5000
(316) 858-5003
Mailing address
551 N HILLSIDE ST STE 201, WICHITA, KS 67214-4923
(316) 263-0296
(316) 263-9523
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0431478
KS
2086S0129X
Vascular Surgery Physician
Primary
04-31478
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200654750A
—
KS
Enumeration date
05/03/2007
Last updated
08/02/2021
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