Individual
CANDYCE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
444 W OSBORN RD STE 200, PHOENIX, AZ 85013-3817
(602) 806-7610
(602) 704-6054
Mailing address
PO BOX 15667, PHOENIX, AZ 85060-5667
(602) 806-7610
(602) 704-6054
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
21064
AZ
225400000X
Rehabilitation Practitioner
Primary
21064
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117467
—
AZ
Enumeration date
02/15/2006
Last updated
06/10/2021
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