Willem J Van Der Werf
Transplant Surgeon
2218 N 3rd St
Phoenix
, Arizona 85004-1401
Willem J Van Der Werf
Transplant Surgeon
2218 N 3rd St
Phoenix
, Arizona 85004-1401
(602) 252-3861
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About
Features
Specialties
- Transplant Surgeon
Languages spoken
- English
Location
First Address
- Willem J Van Der Werf
- 2218 N 3rd St
- Phoenix, AZ
- Zip : 85004-1401
- Fax : (602) 252-3861
- Phone : (602) 252-2543
Second Address
- Willem J Van Der Werf
- 2218 N 3rd St
- Phoenix, AZ
- Zip : 85004-1401
- Fax : (602) 252-3861
- Phone : (602) 252-2543
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Is Willem J Van Der Werf a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204F00000X | Transplant Surgeon | 49927 | AZ |
National Provider Identifier
| NPI | 1275563397 |
|---|---|
| Provider Name | Willem J Van Der Werf |
| First Address | Phoenix, AZ 85004-1401 |
| Second Address | Phoenix, AZ 85004-1401 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/07/2006 |
| Last Update Date | 08/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 119626000 | (05) | WY |
| 4658850 | CIGNA (01) | |
| 52492781200001 | BLUE CROSS BLUE SHIELD (01) | |
| 806894300 | (05) | ID |
| FO2448 | (02) | UT |
| QM000006442 | ALTIUS (01) | |
| TPRA07781 | MOLINA (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.