Individual
DR. WILLIAM COLLAZO-NUNEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
USA MEDDAC, RWBAHC, 2240 E. WINROW AVE., ATTN: MCXJ-CREDENTIALS, FORT HUACHUCA, AZ 85613-7079
(520) 599-1696
(520) 533-7099
Mailing address
1933 EXETER DR, SIERRA VISTA, AZ 85635-4817
(520) 458-3445
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
008209
PR
208000000X
Pediatrics Physician
08209
PR
Other
Enumeration date
10/19/2006
Last updated
07/24/2019
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