IndividualActive
Robert Woolley, MD
NPI 1104995109 · Nephrology Physician · Provo, UT
Provider details
- NPI number
- 1104995109
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 01057426A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1055 N 300 W Ste 210
Provo, UT 84604-3374
Phone: (801) 357-0280
Fax: (801) 377-2810
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 27128
Salt Lake City, UT 84127-0128
Additional practice locations (1)
- 4700 Las Vegas Blvd NNellis Afb, NV 89191-6600Phone: (702) 653-2273
Registry dates
- Enumerated
- 2006-11-06
- Last updated
- 2025-02-20
- Certified
- 2025-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.