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Individual

DR. WILLIAM L TONTZ SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1501 W 24TH STREET, YUMA, AZ 85364
(928) 336-7846
(928) 336-1776
Mailing address
1501 W. 24TH STREET, SUITE C, YUMA, AZ 85364
(928) 336-7846
(928) 336-1776

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
G41138
CA
207X00000X
Orthopaedic Surgery Physician
Primary
44869
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G411380
CA
01
200029494
RR MEDICARE
CA
05
877704
AZ
Enumeration date
03/02/2006
Last updated
07/24/2015
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