Provider Demographics
NPI:1245494665
Name:WOOL, JEFFREY A (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:A
Last Name:WOOL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1531 E 32ND ST
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64804-2925
Mailing Address - Country:US
Mailing Address - Phone:417-624-6666
Mailing Address - Fax:417-624-6667
Practice Address - Street 1:1531 E 32ND ST
Practice Address - Street 2:SUITE 1A
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804-2925
Practice Address - Country:US
Practice Address - Phone:417-624-6666
Practice Address - Fax:417-624-6667
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-15
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO101535207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine