Individual
MR. WALTER RICHARD HADIKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14973 W BELL RD, STE #100, SURPRISE, AZ 85374-3202
(623) 815-2900
(623) 583-1319
Mailing address
18416 N CAVE CREEK RD, APT 3005, PHOENIX, AZ 85032-1035
(623) 815-2900
(623) 583-1319
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34820
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
984957
—
AZ
Enumeration date
08/30/2006
Last updated
07/08/2007
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