William J Waldo, MD | |
2650 E Show Low Lake Rd, Suite 2, Show Low, AZ 85901-7955 | |
(928) 537-4240 | |
(928) 537-4541 |
Full Name | William J Waldo |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 2650 E Show Low Lake Rd, Show Low, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497725014 | NPI | - | NPPES |
225179 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 13646 (Arizona) | Primary |
Entity Name | Dhhs Ihs Phoenix Area |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427335140 PECOS PAC ID: 2668649567 Enrollment ID: O20120117000781 |
Mailing Address | Practice Location Address |
---|---|
William J Waldo, MD 2650 E Show Low Lake Rd, Suite 2, Show Low, AZ 85901-7955 Ph: (928) 537-4240 | William J Waldo, MD 2650 E Show Low Lake Rd, Suite 2, Show Low, AZ 85901-7955 Ph: (928) 537-4240 |
Michael Edward Tieman, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 5171 Cub Lake Rd, Suite 280, Show Low, AZ 85901 Phone: 928-532-5463 Fax: 928-532-8474 | |
Dr. Burke Delange, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5171 Cub Lake Rd, Suite C 350, Show Low, AZ 85901 Phone: 928-537-8285 | |
Doran James Schneider, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 5171 Cub Lake Rd, Suite 390, Show Low, AZ 85901 Phone: 928-532-5463 Fax: 928-532-8474 |