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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MADISON DORA WOOTEN

Active

MADISON DORA WOOTEN is a Contractor healthcare provider located in SAN LUIS OBISPO, California. NPI 1689326480 is currently active in the NPPES registry. Verify at CMS.

Contractor · SAN LUIS OBISPO, CA

Registration Details

NPI Number
1689326480
Provider Type
Individual
Gender
Female
NPI Issued
Jan 22, 2022 (4.5558545172426 yrs)
Last Updated
Jan 22, 2022

Practice Information

Address
2945 MCMILLAN AVE STE 240
SAN LUIS OBISPO, CA, 934016771
Browse CA providers · Browse ZIP 93401
Phone
8054394890
Primary Specialty
Contractor
171W00000X

Other Contractor Providers in SAN LUIS OBISPO, CA

Name Credential NPI
MR. JAMES E NEVILLE CTRS 1225192586
MR. LEONARD BUCKRIDGE HALL PT 1043644149
BROOKE WEST 1982005104
ERICA KINCANNON 1619696523
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.