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NPI Code Detail

MEDICARE: WILLIAM SCOTT SAGEMAN M.D.

MEDICARE: WILLIAM SCOTT SAGEMAN M.D.
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
1207RP1001XPulmonary Disease PhysicianG58846CA
2207RC0200XCritical Care Medicine (Internal Medicine) PhysicianG58846CA

General Provider Information

NPI Number : 1417957168
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM SCOTT SAGEMAN M.D.
Provider Business Mailing Address
First Line : 2700 DOLBEER ST
Second Line :
City : EUREKA
State : CA
Zip : 95501-4736
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2700 DOLBEER ST
Second Line :
City : EUREKA
State : CA
Zip : 95501-4736
Country : US
Telephone Number : 707-269-4253
Fax Number : 707-269-3802
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2005
Last Update Date : 09/14/2018

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Directions to “ WILLIAM SCOTT SAGEMAN M.D.” Practice Location

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