Individual
STEVEN L WOOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1805 27TH ST, PORTSMOUTH, OH 45662-2686
(740) 356-8117
(740) 353-1214
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
(740) 356-8681
(740) 353-7900
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
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