Ko, William T.

Ko, William T. is an individual health care provider with primary practice located at 2224 W Northern Ave Ste D300 , Phoenix AZ 85021. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Ko, William T. can be contacted via phone (602) 277-1449.

Contact Information

Primary practice address
2224 W Northern Ave Ste D300 Phoenix AZ 85021
Phone: (602) 277-1449
Fax: (602) 277-9984
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 26333 Arizona
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 26333 Arizona
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 26333 Arizona

Profile Details

NPI number 1841230976
LBN Legal business name Ko, William T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Oct 25th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841230976 NPPES
Arizona Other AZ0873220 BLUE CROSS
Arizona MEDICAID 686868 BLUE CROSS
Arizona Other 8009018002 BLUE CROSS
Arizona Other 007180050 BLUE CROSS
Arizona Other 070015308 BLUE CROSS
Arizona Other 2Z2527 BLUE CROSS

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