Healthcare Provider Details

I. General information

NPI: 1033195672
Provider Name (Legal Business Name): WILLIAM A DOBBINS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2005
Last Update Date: 12/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 BELL RD UCDMG AUBURN
AUBURN CA
95603-9244
US

IV. Provider business mailing address

1305 BISHALI LN
MEADOW VISTA CA
95722-9311
US

V. Phone/Fax

Practice location:
  • Phone: 530-888-7616
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberG32798
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: