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Individual

ADAM L. WUOLLET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
22601 N 19TH AVE STE 100, PHOENIX, AZ 85027
(623) 231-2443
Mailing address
22601 N 19TH AVE STE 100, PHOENIX, AZ 85027-1324
(623) 231-2443

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
46934
AZ
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
46934
AZ

Other

Enumeration date
06/18/2008
Last updated
03/09/2020
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