Individual
VICKI L WOOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD MPH
Contact information
Practice address
1281 E. IRON EAGLE DR., EAGLE, ID 83616
(208) 939-5535
(208) 939-5536
Mailing address
1281 E. IRON EAGLE DR., EAGLE, ID 83616
(208) 939-5535
(208) 939-5536
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M8030
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80594300
—
ID
Enumeration date
05/24/2006
Last updated
03/04/2015
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