Provider Demographics
NPI:1144232679
Name:ORR, WILLIAM F JR (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:F
Last Name:ORR
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:8220 SAN PEDRO NE SUITE 300
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87113
Mailing Address - Country:US
Mailing Address - Phone:505-449-4116
Mailing Address - Fax:505-449-4225
Practice Address - Street 1:8220 SAN PEDRO DR NE STE 300
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87113-2476
Practice Address - Country:US
Practice Address - Phone:505-449-4116
Practice Address - Fax:505-449-4225
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2009-03-25
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Provider Licenses
StateLicense IDTaxonomies
CO22651207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
COEO6418Medicare UPIN