Individual
AUSTIN JAMES WOOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1735 N STATE ST, PROVO, UT 84604-1010
(801) 374-1818
Mailing address
1735 N STATE ST, PROVO, UT 84604-1010
(801) 374-1818
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
12185144-1205
UT
Other
Enumeration date
03/22/2017
Last updated
08/25/2021
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