Organization
DUANE M WOOTEN M.D. PC
Active
Other names
Duane M Wooten M.D. PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUANE M WOOTEN M.D. (DIRECTOR)
(602) 374-4937
Entity
Organization
Contact information
Practice address
515 W BUCKEYE RD STE 306, PHOENIX, AZ 85003-2650
(602) 374-4937
(602) 388-4261
Mailing address
515 W BUCKEYE RD STE 306, PHOENIX, AZ 85003-2650
(602) 374-4937
(602) 388-4261
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
270843
AHCCCS
AZ
Enumeration date
09/12/2006
Last updated
08/28/2024
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