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NPI Code Detail

MEDICARE: DR. WILLIAM SCOTT MACMORRAN MD

MEDICARE: DR. WILLIAM SCOTT MACMORRAN 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
12084P0800XPsychiatry PhysicianA63455CA

General Provider Information

NPI Number : 1942301452
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM SCOTT MACMORRAN MD
Provider Business Mailing Address
First Line : 1474 UNIVERSITY AVE
Second Line : #233
City : BERKELEY
State : CA
Zip : 94702-1509
Country : US
Telephone Number : 510-482-2244
Fax Number : 760-406-9625
Provider Business Practice Location Address
First Line : 3800 COOLIDGE AVE
Second Line :
City : OAKLAND
State : CA
Zip : 94602-3311
Country : US
Telephone Number : 510-482-2244
Fax Number : 510-530-2047
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2006
Last Update Date : 11/05/2016

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