Individual
WILLIAM J WALDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2650 E SHOW LOW LAKE RD, SUITE 2, SHOW LOW, AZ 85901-7955
(928) 537-4240
(928) 537-4541
Mailing address
2650 E SHOW LOW LAKE RD, SUITE 2, SHOW LOW, AZ 85901-7955
(928) 537-4240
(928) 537-4541
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
13646
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225179
—
AZ
Enumeration date
01/25/2006
Last updated
10/04/2007
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