Doctor Name: | ROBERT WOLNEY |
NPI Number: | 1689787921 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | G13423 |
Business Practice Address: | 67 Evans Wofford Heights, CA - 93285 |
Business Phone Number: | 7603762275 |
Business Fax Number: | 7603764801 |
Mailing Address: | 1430 Truxtun Avenue, Ste 400 Attn Ann Lee Clinica Sierra Vista BAKERSFIELD |
State: | CA |
Postal Code: | 933021559 |
Phone Number: | 6616353050 |
Fax Number: | 6618691503 |
NPI Enumeration Date: | 08/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | G13423 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |