Individual
MARK EDWIN WOOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
955 CHAMBERS ST STE 200, SOUTH OGDEN, UT 84403-4519
(801) 409-2100
(801) 475-6169
Mailing address
955 CHAMBERS ST STE 200, SOUTH OGDEN, UT 84403-4519
(801) 627-2122
(801) 627-2125
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
0718
AZ
213ES0103X
Foot & Ankle Surgery Podiatrist
1946
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
7081436-0501
UT
Other
Enumeration date
12/03/2008
Last updated
03/28/2019
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