Provider Demographics
NPI:1780800813
Name:WOOLLEY, JOSEPH HUNTER (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:HUNTER
Last Name:WOOLLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:292 SOUTH 1470 EAST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SAINT GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-7000
Mailing Address - Country:US
Mailing Address - Phone:435-628-9200
Mailing Address - Fax:435-674-5763
Practice Address - Street 1:292 SOUTH 1470 EAST
Practice Address - Street 2:SUITE 100
Practice Address - City:SAINT GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-7000
Practice Address - Country:US
Practice Address - Phone:435-628-9200
Practice Address - Fax:435-674-5763
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2013-12-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE5052207R00000X, 208000000X
UT6959101-1205207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics