Healthcare Provider Details

I. General information

NPI: 1548404569
Provider Name (Legal Business Name): WILLIAM M MESZAROS MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2009
Last Update Date: 02/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

875 N GREENFIELD RD STE 108
GILBERT AZ
85234-5044
US

IV. Provider business mailing address

5150 N 16TH ST STE B232
PHOENIX AZ
85016-3925
US

V. Phone/Fax

Practice location:
  • Phone: 480-553-7993
  • Fax: 480-553-7995
Mailing address:
  • Phone: 480-553-7993
  • Fax: 480-553-7995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number40346
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number40346
License Number StateAZ

VIII. Authorized Official

Name: WILLIAM M. MESZAROS
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 480-553-7993