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Contact Information

AUSTIN J WOOLLEY
1735 N STATE ST
PROVO, UT84604-1010
 Phone: 801-374-1818
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for AUSTIN J WOOLLEY · (Male)

NPI # 1851822829
Status Active
Credentials
Entity Individual
Enumeration date 03/22/2017
Last updated 08/25/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 12185144-1205
Hospital affiliation(s)
  • UTAH VALLEY REGIONAL MEDICAL CENTER - (Acute Care)
    1034 NORTH 500 WEST
    PROVO, UT 84604
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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