Provider Demographics
NPI:1558396531
Name:WILL JEFFERS D.O., P.C.
Entity Type:Organization
Organization Name:WILL JEFFERS D.O., P.C.
Other - Org Name:NOW CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILL
Authorized Official - Middle Name:VAHID
Authorized Official - Last Name:JEFFERS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:623-875-7900
Mailing Address - Street 1:9340 W PONTIAC DR
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85382-5180
Mailing Address - Country:US
Mailing Address - Phone:623-825-6437
Mailing Address - Fax:623-476-5582
Practice Address - Street 1:8631 W UNION HILLS DR
Practice Address - Street 2:206
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85382-5180
Practice Address - Country:US
Practice Address - Phone:623-875-7900
Practice Address - Fax:623-875-7919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZPENDING261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ850992Medicaid
AZI10940Medicare UPIN