| Doctor Name: | MR. CARL LEO WOOFTER |
| NPI Number: | 1225197999 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PAC |
| License Number: | 15-00765 |
| Business Practice Address: | 1005 S Range Ave Ste 200 Colby, KS - 677013537 |
| Business Phone Number: | 7854623332 |
| Business Fax Number: | 7854623337 |
| Mailing Address: | 315 E Plum St, COLBY |
| State: | KS |
| Postal Code: | 677013423 |
| Phone Number: | 7856753018 |
| Fax Number: | 7856752306 |
| NPI Enumeration Date: | 12/08/2006 |
| NPI Last Update Date: | 06/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 15-00765 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |