Individual
STEVEN L WOOLLEY
Active
Individual
STEVEN L WOOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
34427
KY
2085R0202X
Diagnostic Radiology Physician
Primary
35077834
OH
2085R0202X
Diagnostic Radiology Physician
MC-212
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000190193
BCBS
KY
01
—
000000393526
BCBS
KY
05
—
2155126
—
OH
01
—
300094548
RAILROAD MEDICARE
OH
05
—
64244270
—
KY
05
—
7200037000
—
WV
01
—
P00265896
RAILROAD MEDICARE
KY
Enumeration date
10/28/2005
Last updated
03/25/2024
Update your record
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