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NPI Code Detail

MEDICARE: WILLIAM LEAR MD

MEDICARE: WILLIAM LEAR MD
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
1207N00000XDermatology PhysicianMD28286OR
2207ND0101XMOHS-Micrographic Surgery PhysicianMD28286OR

General Provider Information

NPI Number : 1558553115
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM LEAR MD
Provider Business Mailing Address
First Line : 1793 13TH ST SE
Second Line :
City : SALEM
State : OR
Zip : 97302-2541
Country : US
Telephone Number : 503-362-8385
Fax Number : 503-362-8435
Provider Business Practice Location Address
First Line : 1793 13TH ST SE
Second Line :
City : SALEM
State : OR
Zip : 97302-2541
Country : US
Telephone Number : 503-362-8385
Fax Number : 503-362-8435
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2007
Last Update Date : 07/17/2015

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Directions to “ WILLIAM LEAR MD” Practice Location

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