Organization
ANNA WOOTEN MD PC
Active
Parent organization
ANNA WOOTEN MD PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANNA WOOTEN MD PC
Authorized official
ANNA I WOOTEN MD (OWNER)
(724) 759-7777
Entity
Organization
Contact information
Practice address
2605 NICHOLSON RD, SUITE 210, SEWICKLEY, PA 15143-8895
(724) 759-7777
(724) 759-7780
Mailing address
2605 NICHOLSON RD, SUITE 210, SEWICKLEY, PA 15143-8895
(724) 759-7777
(724) 759-7780
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD424143
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2054829
HIGHMARK BLUE SHIELD
PA
Enumeration date
09/23/2008
Last updated
05/17/2010
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