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Individual

SCOTT WOOLF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
360 E MALLARD DR STE 110, BOISE, ID 83706-3945
(208) 336-8700
Mailing address
360 E MALLARD DR STE 110, BOISE, ID 83706-3945
(208) 336-8700
(208) 426-0902

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
M-16268
ID
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
M-16268
ID

Other

Enumeration date
03/22/2017
Last updated
08/04/2022
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