Individual
WILLIAM J. RESNICK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1003 WILLOW CREEK RD, PRESCOTT, AZ 86301-1641
(928) 445-2700
Mailing address
1360 WINFIELD CIR, PRESCOTT, AZ 86301-5681
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
3905
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
794249-01
—
AZ
Enumeration date
04/19/2006
Last updated
07/08/2007
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