Provider Demographics
NPI:1407837172
Name:MESHIER, WILLIAM T (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:T
Last Name:MESHIER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3170 N OLD WOODRUFF RD
Mailing Address - Street 2:
Mailing Address - City:SNOWFLAKE
Mailing Address - State:AZ
Mailing Address - Zip Code:85937-5122
Mailing Address - Country:US
Mailing Address - Phone:480-797-3246
Mailing Address - Fax:928-563-0229
Practice Address - Street 1:3170 N OLD WOODRUFF RD
Practice Address - Street 2:
Practice Address - City:SNOWFLAKE
Practice Address - State:AZ
Practice Address - Zip Code:85937-5122
Practice Address - Country:US
Practice Address - Phone:480-797-3246
Practice Address - Fax:928-563-0229
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-09
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ15822208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ25220502Medicaid
D44260Medicare UPIN
63994Medicare ID - Type Unspecified