Individual
JEFFREY M WOLK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3410 CANYON DE FLORES, SUITE B, SIERRA VISTA, AZ 85650-5372
(520) 459-4477
(520) 803-9572
Mailing address
3410 CANYON DE FLORES, SUITE B, SIERRA VISTA, AZ 85650-5372
(520) 459-4477
(520) 803-9572
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
33318
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890790
—
AZ
Enumeration date
07/13/2006
Last updated
02/13/2011
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