Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 40346 | AZ |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 40346 | AZ |
NPI | 1093826000 |
---|---|
Provider Name | William Michael Meszaros |
First Address | Gilbert, AZ 85297-0432 |
Second Address | Gilbert, AZ 85297-0432 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 21/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
424760 | (05) | AZ |
H58578 | (02) |