Individual
DR. DAVID WAYNE JOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3601 S 6TH AVE, 2-112, TUCSON, AZ 85723
(520) 792-1450
(520) 629-1706
Mailing address
3601 S 6TH AVE # 2-112B, TUCSON, AZ 85723-0001
(520) 792-1450
(520) 629-1897
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
286416-0501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
286416-0501
UT STATE DOPL
UT
Enumeration date
10/03/2006
Last updated
05/22/2018
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