William L. Flood, MD

Individual provider Active NPI Pediatrics Physician · Chinle, AZ

NPI 1619908050 · NPPES record last updated Mar 2, 2011

Key facts

NPI
1619908050
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
18789 (CO)
Practice address
Hwy 191 & Hospital Road
Cchcf
Chinle, AZ 86503
Phone
(928) 674-7166
Fax
(928) 674-7705
NPI assigned
Jul 5, 2006
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 Medicine

State licenses

LicenseStateTypeSpecialty
18789COMDPediatrics Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 18789 CO Yes

Addresses

Primary practice location

Hwy 191 & Hospital Road
Cchcf
Chinle, AZ 86503

Mailing address

PO Box PH
Chinle, AZ 86503-8000
Phone (928) 674-7166

Other providers in Chinle, AZ

All providers in Chinle, AZ · Pediatrics Physician in Arizona

Sources for this page

Verify at the official NPI Registry.