Individual
WILLEM J VAN DER WERF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2218 N 3RD ST, PHOENIX, AZ 85004-1401
(602) 252-2543
(602) 252-3861
Mailing address
2218 N 3RD ST, PHOENIX, AZ 85004-1401
(602) 252-2543
(602) 252-3861
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
5249271205
UT
204F00000X
Transplant Surgery Physician
Primary
49927
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119626000
—
WY
01
—
4658850
CIGNA
—
01
—
52492781200001
BLUE CROSS BLUE SHIELD
—
05
—
806894300
—
ID
01
—
QM000006442
ALTIUS
—
01
—
TPRA07781
MOLINA
—
Enumeration date
07/04/2006
Last updated
11/12/2024
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