Wm. Wade Collison Md

NPI 1548593916 - Clinic/Center - 261QA1903X

NPI Details
NPI 1548593916
Enumeration Date 09/16/2009
Last Updated 09/16/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name WILLIAM WADE WILLIAM
Position OWNER
Phone (928) 778-3838
Fax (928) 778-5630
Practice Location
1050 GAIL GARDNER WAY
SUITE 200
PRESCOTT AZ, 86305-1630, US
Phone (928) 778-3838
Fax (928) 778-5630
Business Location
1050 GAIL GARDNER WAY
SUITE 200
PRESCOTT AZ, 86305-1630, US
Phone (928) 778-3838
Fax (928) 778-5630
Toxanomy
Taxonomy Code 261QA1903X
License State Arizona
License Number 10644
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According to our database, Wm. Wade Collison Md NPI is 1548593916, taxonomy code is 261QA1903X and license number is 10644, license state is located at Arizona. Wm. Wade Collison Md physically located at 1050 Gail Gardner Way, Prescott AZ, 86305-1630. NPI Number 1033115704 has the healthcare provider type.

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1548593916 NPI number is provided on an as is basis without warranty of any kind. 1548593916 is maintained by the National Plan & Provider Enumeration System. The contents of Wm. Wade Collison Md are for informational purposes only.