Individual
DR. RICHARD MERLAND WILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
19829 N 27TH AVE, PHOENIX, AZ 85027-4001
(602) 246-2584
(602) 246-2566
Mailing address
PO BOX 27340, PHOENIX, AZ 85061-7340
(602) 943-9200
(602) 216-3000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
20A 9538
CA
2085R0202X
Diagnostic Radiology Physician
Primary
5040
AZ
2085R0202X
Diagnostic Radiology Physician
971
SC
2085R0202X
Diagnostic Radiology Physician
OP00002140
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
426571
—
AZ
Enumeration date
01/25/2006
Last updated
08/20/2009
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