Individual
DR. WILLIAM PEPPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9212 N CENTRAL AVE, PHOENIX, AZ 85020
(602) 943-9494
(602) 944-3898
Mailing address
111 E DUNLAP AVE, PHOENIX, AZ 85020-2807
(480) 993-2269
(480) 993-2180
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
1248
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193668
—
AZ
01
—
Z161102
MEDICARE PTAN
AZ
Enumeration date
06/21/2006
Last updated
04/05/2024
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