person
William Wade Collison, MD
Plastic and Reconstructive Surgery Physician in Prescott, Arizona
NPI 1154314730

William Wade Collison is a Plastic and Reconstructive Surgery Physician based in Prescott, AZ and is specialized in Plastic and Reconstructive Surgery. William Wade Collison practices in Prescott, AZ and has the professional credentials of MD. The NPI Number for William Wade Collison is 1154314730 and holds a License No. 10644 (Arizona).

The current practice location address for William Wade Collison is 1050 Gail Gardner Way, Prescott, AZ and can be reached out via phone at 928-778-3838 and via fax at 928-778-5630.

Location: 1050 Gail Gardner Way, Prescott, AZ, 86304-0880
person
Provider Profile Details
NPI Number
1154314730
Provider Name
William Wade Collison
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1050 Gail Gardner Way, Prescott, AZ, 86304-0880
Phone Number
928-778-3838
Fax Number
928-778-5630
Provider Enumeration Date
08/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
21-13-A644 01 AZ WORKER'S COMPENSATION
24000709 01 AZ RAILROAD MEDICARE
238354 05 AZ
institution
Provider Business Practice Location Address Details
Address
1050 Gail Gardner Way
City
State
Zip
86305-1630
Phone Number
928-778-3838
Fax Number
928-778-5630
person
Provider Business Mailing Address Details
Address
1050 Gail Gardner Way
City
State
Zip
86305-1630
Phone Number
928-778-3838
Fax Number
928-778-5630
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
10644 (Arizona)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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