MEDICARE: DR. WILLIAM CHARLES CONWAY II MD

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	2086X0206X	Surgical Oncology Physician	A99863	CA

General Provider Information

NPI Number	:	1962626390
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM CHARLES CONWAY II MD

Provider Business Mailing Address
First Line	:	PO BOX 62106
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93160-2106
Country	:	US
Telephone Number	:	805-898-3140
Fax Number	:

Provider Business Practice Location Address
First Line	:	540 W PUEBLO ST
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93105-4230
Country	:	US
Telephone Number	:	805-879-0670
Fax Number	:

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

Provider Enumeration Date	:	04/13/2007
Last Update Date	:	08/15/2022

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