Healthcare Provider Details

I. General information

NPI: 1154353795
Provider Name (Legal Business Name): WILLIAM E HADCOCK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 09/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1247 E ALLUVIAL AVE STE. 101
FRESNO CA
93720-2686
US

IV. Provider business mailing address

7249 N SEQUOIA AVE
FRESNO CA
93711-0426
US

V. Phone/Fax

Practice location:
  • Phone: 559-431-6226
  • Fax: 559-440-9005
Mailing address:
  • Phone: 559-432-4550
  • Fax: 559-438-8067

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberA41224
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: