Individual
DR. ROBERT WILLIAM MEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
13677 W MCDOWELL RD, GOODYEAR, AZ 85338-2618
(623) 882-1500
Mailing address
26333 S LEMON AVE, QUEEN CREEK, AZ 85242-8168
(602) 499-9949
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2755
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056061
—
AZ
01
—
3981220
EVERCARE GROUP #
AZ
01
—
AW1436
HEALTHNET GRP
AZ
01
—
AZ0728670
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
11/02/2005
Last updated
07/08/2007
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