OrganizationWillard Emergency PhysiciansEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address269 S Candy Ln, Cottonwood, AZ 86326-4158(928) 639-6172(805) 563-3011PECOS EnrollmentBased on the most recent information from CMS, provider Willard Emergency Physicians does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1598714743Provider TypeOrganizationFull NameWillard Emergency PhysiciansSubpartNoEnumeration Date5/7/2006Last Updated4/20/2008Contact InformationPractice LocationPractice Address269 S Candy Ln, Cottonwood, AZ 86326-4158Phone(928) 639-6172FaxUnlisted FaxMailing LocationMailing Address3916 State St, Suite 300, Santa Barbara, CA 93105-5602Phone(805) 563-3011FaxUnlisted FaxAuthorized OfficialNameMurphy, James L. (Ex. V. P., Emcare Physician Provide)Phone(800) 527-2145Provider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerIDAZ0441980DescriptionOtherIssuerBLUE SHIELDArizonaID556574DescriptionMedicaidIssuerUnlistedArizona