Provider Demographics
NPI:1952300030
Name:DAFNIS, BILL (DO)
Entity Type:Individual
Prefix:DR
First Name:BILL
Middle Name:
Last Name:DAFNIS
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:15210 N SCOTTSDALE RD
Mailing Address - Street 2:SUITE 275
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-8124
Mailing Address - Country:US
Mailing Address - Phone:480-237-1403
Mailing Address - Fax:602-218-4076
Practice Address - Street 1:15210 N SCOTTSDALE RD
Practice Address - Street 2:SUITE 275
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-8124
Practice Address - Country:US
Practice Address - Phone:480-237-1403
Practice Address - Fax:602-218-4076
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-20
Last Update Date:2016-10-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ3957207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZI10876Medicare UPIN