William C Inboden, D.O.
Individual provider Active NPI Family Medicine Physician · Tucson, AZ
NPI 1528043395 · NPPES record last updated Jul 22, 2011
Key facts
- NPI
- 1528043395
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 1199 (AZ)
- Practice address
- 4892 N Stone Ave
Suite 100
Tucson, AZ 85704-5761 - Phone
- (520) 396-1360
- Fax
- (520) 795-9043
- NPI assigned
- Dec 14, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1199 | AZ | Yes |
Addresses
Primary practice location
4892 N Stone Ave
Suite 100
Tucson, AZ 85704-5761
Mailing address
2202 N Forbes Blvd
Tucson, AZ 85745-1412
Phone (520) 396-1360
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 236001 | Medicaid | AZ |
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All providers in Tucson, AZ · Family Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.