Provider Demographics
NPI:1083716658
Name:HARANT, WILLIAM (DPM)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:HARANT
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6554 E CARONDELET DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710-2117
Mailing Address - Country:US
Mailing Address - Phone:520-886-5311
Mailing Address - Fax:520-886-2969
Practice Address - Street 1:6554 E CARONDELET DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-2117
Practice Address - Country:US
Practice Address - Phone:520-886-5311
Practice Address - Fax:520-886-2969
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ288213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ701260Medicaid
AZ480015637OtherRAILROAD MEDICARE
AZ480015637OtherRAILROAD MEDICARE
AZ701260Medicaid