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Wm. Wade Collison Md
Ambulatory Surgical Clinic/Center in Prescott, Arizona
NPI 1548593916

Wm. Wade Collison Md is an Ambulatory Surgical Clinic/Center based in Prescott, AZ and is specialized in Ambulatory Surgical. Wm. Wade Collison Md practices in Prescott, AZ. The NPI Number for Wm. Wade Collison Md is 1548593916 and holds a License No. 10644 (Arizona).

The current practice location address for Wm. Wade Collison Md 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, 86305-1630
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548593916
Provider Name
Wm. Wade Collison Md
Credential
Provider Entity Type
Organization
Address
1050 Gail Gardner Way, Prescott, AZ, 86305-1630
Phone Number
928-778-3838
Fax Number
928-778-5630
Provider Enumeration Date
09/16/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1050 Gail Gardner Way
City
Prescott
State
Arizona
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
Prescott
State
Arizona
Zip
86305-1630
Phone Number
928-778-3838
Fax Number
928-778-5630
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
261QA1903X
License No.
10644 (Arizona)
Definition
Definition to come...
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