Individual
WILLIAM D PRICKETT
Active
Individual
WILLIAM D PRICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
31430
AZ
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
31430
AZ
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
31430
AZ
207XX0801X
Orthopaedic Trauma Physician
31430
AZ
2080S0010X
Pediatric Sports Medicine Physician
31430
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
776982
—
AZ
Enumeration date
08/03/2005
Last updated
01/13/2015
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