Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 18-1721 | AZ |
NPI | 1003391764 |
---|---|
Provider Name | Dr. Daniel Andrew Wool |
First Address | Scottsdale, AZ 85255-7411 |
Second Address | Scottsdale, AZ 85255 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2018 |
Last Update Date | 28/09/2018 |