Organization
WOOLF EYE CLINIC, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM A WOOLF M.D. (OWNER)
(480) 969-1000
Entity
Organization
Contact information
Practice address
2855 E BROWN RD, SUITE #10, MESA, AZ 85213-4213
(480) 969-1000
(480) 644-0869
Mailing address
PO BOX 31447, MESA, AZ 85275-1447
(480) 969-1000
(480) 644-0869
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12396
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204199-001
—
AZ
01
—
AZ0029640
BLUE CROSS BLUE SHIELD
AZ
01
—
CS0717
RAILROAD MEDICARE
—
Enumeration date
08/14/2007
Last updated
07/08/2010
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