Individual
WILLIAM CONRAD NORDLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2421 E SOUTHERN AVE STE 7, TEMPE, AZ 85282-7612
(480) 425-2160
(480) 351-8797
Mailing address
PO BOX 41150, MESA, AZ 85274-1150
(480) 425-2160
(480) 351-8797
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
29285
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050087344
MEDICARE RAILROAD
—
05
—
593394
—
AZ
Enumeration date
01/23/2006
Last updated
12/09/2022
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