Individual
ROBERT C WAKEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
822 E SAGUARO ST, FLORENCE, AZ 85132
(480) 235-8545
Mailing address
10110 E HAY LOFT RD, FLORENCE, AZ 85232-7441
(480) 235-8545
(520) 233-6114
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
3005
AZ
363A00000X
Physician Assistant
Primary
3005
AZ
Other
Enumeration date
04/06/2007
Last updated
01/16/2013
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