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NPI Code Detail

MEDICARE: DR. WILLIAM HENRY DESCHNER M.D.

MEDICARE:  DR. WILLIAM HENRY DESCHNER  M.D.
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
1207VX0000XObstetrics PhysicianC50030CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11215915293OTHERCANPI

General Provider Information

NPI Number : 1780719393
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM HENRY DESCHNER M.D.
Provider Business Mailing Address
First Line : PO BOX 1570
Second Line :
City : LAKE ARROWHEAD
State : CA
Zip : 92352-1570
Country : US
Telephone Number : 909-336-2156
Fax Number : 909-336-0507
Provider Business Practice Location Address
First Line : 29099 HOSPITAL RD
Second Line : STE 114
City : LAKE ARROWHEAD
State : CA
Zip : 92352-1570
Country : US
Telephone Number : 909-336-2156
Fax Number : 909-336-0507
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2007
Last Update Date : 07/08/2007

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Directions to “ DR. WILLIAM HENRY DESCHNER M.D.” Practice Location

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