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Individual

DR. WILLIAM JOHN BADGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
77 W FOREST AVE STE 201, FLAGSTAFF, AZ 86001-1483
(928) 773-2222
(928) 773-2599
Mailing address
PO BOX 31210, FLAGSTAFF, AZ 86003-1210
(928) 773-2222
(928) 773-2599

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
37956
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1003935479
BCBS
AZ
05
328461
AZ
01
Z129226
MEDICARE
AZ
Enumeration date
03/28/2007
Last updated
10/12/2020
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