MEDICARE: WILLIAM WINTON PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA14007	CA

General Provider Information

NPI Number	:	1235146283
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM WINTON PA

Provider Business Mailing Address
First Line	:	3441 MARYSVILLE BLVD
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95838-4512
Country	:	US
Telephone Number	:	916-563-7230
Fax Number	:	916-563-7229

Provider Business Practice Location Address
First Line	:	4241 FLORIN RD
Second Line	:	STE 30
City	:	SACRAMENTO
State	:	CA
Zip	:	95823-2535
Country	:	US
Telephone Number	:	330-493-4443
Fax Number	:	330-493-8677

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2006
Last Update Date	:	06/07/2013

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