Healthcare Provider Details

I. General information

NPI: 1285540989
Provider Name (Legal Business Name): WILLIAM JOSEPH HUNT JR. P.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1419 E DESERT BROOM WAY
PHOENIX AZ
85048-5926
US

IV. Provider business mailing address

1419 E DESERT BROOM WAY
PHOENIX AZ
85048-5926
US

V. Phone/Fax

Practice location:
  • Phone: 480-250-7825
  • Fax:
Mailing address:
  • Phone: 480-250-7825
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMA000039L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: