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Individual

WILLIAM CHARLES TINDALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
120 E MAIN ST, SUITE A, PAYSON, AZ 85541-5618
(928) 474-9744
Mailing address
120 E MAIN ST, SUITE A, PAYSON, AZ 85541-5618
(928) 474-9744

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
3243
AZ
207V00000X
Obstetrics & Gynecology Physician
55337
MN
207V00000X
Obstetrics & Gynecology Physician
DR 00517757
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
455784-002
AZ
Enumeration date
08/16/2006
Last updated
01/12/2017
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