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King William

NPI 1104695683 · on the registry since 2023 · sole proprietor

Practice

Address
15640 N 7th St Ste A1
Phoenix, AZ 85022
Phone
(602) 675-0864
Fax
(602) 675-1839
Organisation at this address
Spinalworks Inc
Heidi Pino Pllc
Medical Pain Solutions
Eric Stavoe, Dds, Pllc
Advanced Medical Therapy Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
103TA0400X
103TA0400X
Also registered as
101YM0800X
101YP1600X
101YA0400X
103TP2701X
Sex
Male
Record last updated
2023-12-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona