Individual
DR. WILLIAM GODFREY WOOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
839 CANTERBURY DR, EVANSVILLE, IN 47715-4231
(812) 402-1430
Mailing address
839 CANTERBURY DR, EVANSVILLE, IN 47715-4231
(812) 402-1430
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01027612A
IN
Other
Enumeration date
10/21/2011
Last updated
10/21/2011
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