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Individual

WILLIAM E DEYDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1520 S DOBSON RD, SUITE 214, MESA, AZ 85202-4725
(480) 833-7441
(480) 833-2527
Mailing address
1520 S DOBSON RD, SUITE 214, MESA, AZ 85202-4725
(480) 833-7441
(480) 833-2527

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
AZ10408
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1962512004
COPORATE NPI
05
230326
AZ
01
756021641
RR MEDICARE
AZ
01
AZ0012280
BCBS AZ
AZ
01
AZ0248
HEALTHNET OF AZ
AZ
Enumeration date
04/27/2006
Last updated
03/11/2011
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