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General NPI Number Information
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NPI Number | 1548339260
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Entity Type | Individual
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Provider Name | PAUL A WOOLF DC
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Gender | Male
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 10723 W INDIAN SCHOOL RD
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City | AVONDALE
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State | AZ
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Zip | 85323-5636
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Country | US
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Telephone | 623-848-6991
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Fax | 623-848-6993
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Provider Business Mailing Address
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Address Line | 10943 W PUGET AVE
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City | PEORIA
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State | AZ
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Zip | 85345-2930
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Country | US
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Telephone | 623-974-6159
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Fax | 602-864-0065
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4228
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License Number State | AZ
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