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Jason Wooden
NPI 1699168906 · on the registry since 2015 · sole proprietor
Practice
- Address
- 17505 N. 79th Ave
Glebdale, AZ 85308 - Phone
- (623) 979-5266
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-03-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona