Individual
FREDERICK ANTHONY WILLYERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1784
(602) 933-1785
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1814
(602) 933-1820
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
48044
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
830523
—
AZ
Enumeration date
01/11/2010
Last updated
08/18/2021
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