Individual
FRANK EDWARD WAECHTER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 E MAIN ST, SUITE A, PAYSON, AZ 85541-5618
(928) 474-9744
(928) 474-9766
Mailing address
PO BOX 859, PAYSON, AZ 85547-0859
(928) 474-9744
(928) 474-9766
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M0333
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
803929
—
AZ
Enumeration date
06/23/2005
Last updated
06/29/2013
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