Healthcare Provider Details

I. General information

NPI: 1457472193
Provider Name (Legal Business Name): WILLIAM ROWLAND HEMSLEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31069 BEDFORD DR
REDLANDS CA
92373-7412
US

IV. Provider business mailing address

31069 BEDFORD DR
REDLANDS CA
92373-7412
US

V. Phone/Fax

Practice location:
  • Phone: 909-794-5600
  • Fax: 909-386-6043
Mailing address:
  • Phone: 909-794-5600
  • Fax: 909-386-6043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code202C00000X
TaxonomyIndependent Medical Examiner Physician
License NumberA28346
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: