Individual
DR. AMY NOEL WOOTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
330 N MAIN ST, SUITE 101-102, CENTERVILLE, OH 45459-4465
(937) 433-0960
(937) 433-0958
Mailing address
330 N MAIN ST, SUITE 101-102, CENTERVILLE, OH 45459-4465
(937) 433-0960
(937) 433-0958
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35085253
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2211609
—
OH
Enumeration date
10/31/2006
Last updated
11/18/2014
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