Individual
WILLIAM R WOMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1525 N GRANITE REEF RD, STE 7, SCOTTSDALE, AZ 85257-3998
(480) 994-3432
(480) 994-5682
Mailing address
PO BOX 3297, SCOTTSDALE, AZ 85271-3297
(000) 000-0000
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4471
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208951
—
AZ
Enumeration date
01/31/2006
Last updated
10/01/2018
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