Healthcare Provider Details

I. General information

NPI: 1235187147
Provider Name (Legal Business Name): WILLIAM OATES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 02/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 N WILMOT RD SUITE B-150
TUCSON AZ
85712-4416
US

IV. Provider business mailing address

5055 E BROADWAY BLVD STE A-100 ARIZONA COMMUNITY PHYSICIANS PC
TUCSON AZ
85711-3640
US

V. Phone/Fax

Practice location:
  • Phone: 520-886-8278
  • Fax: 520-886-0453
Mailing address:
  • Phone: 520-327-0460
  • Fax: 520-795-0225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number6184
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: