Healthcare Provider Details

I. General information

NPI: 1902042898
Provider Name (Legal Business Name): WILLIAM ROBERT ZORRER II
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/23/2008
Last Update Date: 12/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NHCPB 555191 COMMANDING OFFICER
CAMP PENDLETON CA
92055-5191
US

IV. Provider business mailing address

3316 HARDING ST APT 13
CARLSBAD CA
92008-2441
US

V. Phone/Fax

Practice location:
  • Phone: 760-725-1288
  • Fax:
Mailing address:
  • Phone: 619-517-4135
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1710I1002X
TaxonomyIndependent Duty Corpsman
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: