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NPI Code Detail

MEDICARE: WILLIAM UPDYKE DC

MEDICARE: WILLIAM UPDYKE DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor17844CA

General Provider Information

NPI Number : 1437249141
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM UPDYKE DC
Provider Business Mailing Address
First Line : 154 KENSINGTON WAY
Second Line :
City : LOS GATOS
State : CA
Zip : 95032-4026
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 90 E TASMAN DR
Second Line :
City : SAN JOSE
State : CA
Zip : 95134-1617
Country : US
Telephone Number : 408-983-4192
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2006
Last Update Date : 04/08/2008

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Directions to “ WILLIAM UPDYKE DC” Practice Location

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