Organization
ERIC T. WOOTEN, D.O., PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC T. WOOTEN D.O. (PRESIDENT)
(270) 842-1669
Entity
Organization
Contact information
Practice address
1325 ANDREA ST, STE. 209, BOWLING GREEN, KY 42104-5852
(270) 842-1669
(270) 843-1911
Mailing address
1325 ANDREA ST, STE. 209, BOWLING GREEN, KY 42104-5852
(270) 842-1669
(270) 843-1911
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
08/27/2008
Last updated
01/06/2009
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