Individual
WILFRED J RADLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4263 HIGHWAY 68, STE C, GOLDEN VALLEY, AZ 86413-8569
(928) 565-3939
(928) 565-4111
Mailing address
5653 HIGHWAY 95, STE A, FORT MOHAVE, AZ 86426-6069
(928) 768-2558
(928) 768-2874
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8288
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206707
—
AZ
Enumeration date
05/15/2007
Last updated
08/15/2014
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