Individual
CREIGHTON WOOLSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1155 W PARKVIEW ST STE 2J, BOLIVAR, MO 65613-8598
(417) 328-7000
(417) 328-1142
Mailing address
1155 W PARKVIEW ST STE 2J, BOLIVAR, MO 65613-8598
(417) 328-7000
(417) 328-1142
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2020015348
MO
Other
Enumeration date
04/04/2017
Last updated
09/21/2020
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