Buffy T Wooten


Address: 810 N 6th Ave, Phoenix, AZ 85003-1318

Buffy T Wooten (NPI# 1295727964, PAC ID# 9133285414) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1295727964
PAC ID by PECOS 9133285414
Professional Enrollment ID I20120404000701
Full Name Buffy T Wooten
Address 810 N 6th Ave
Phoenix
AZ 85003-1318
Gender F
Graduation Year 1995
Primary Specialty PSYCHOLOGIST, CLINICAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
810 N 6th Ave, Phoenix, AZ 85003-1318

Organization Information

Office Location

Street Address 810 N 6TH AVE
City PHOENIX
State AZ
Zip 85003-1318

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Competitor

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City PHOENIX
Zip Code 85003
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty PHOENIX + PSYCHOLOGIST, CLINICAL

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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