Healthcare Provider Details

I. General information

NPI: 1659424604
Provider Name (Legal Business Name): WILLIAM ALLEN DANZ B.C.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/20/2007
Last Update Date: 06/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

490 POST ST STE. 1609
SAN FRANCISCO CA
94102-1401
US

IV. Provider business mailing address

490 POST ST STE. 1609
SAN FRANCISCO CA
94102-1401
US

V. Phone/Fax

Practice location:
  • Phone: 415-433-3990
  • Fax: 415-986-0491
Mailing address:
  • Phone: 415-433-3990
  • Fax: 415-986-0491

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: