William James Wickwire in Redondo Beach - Dermatology
William James Wickwire - NPI 1699779660
William James Wickwire is a Dermatology in Redondo Beach, California. William James Wickwire practices all healthcare services and medical treatments related to Dermatology. The NPI Number for William James Wickwire is 1699779660. The last update date is 2014-02-21.
William James Wickwire's current location address is 520 N Prospect Ave, Redondo Beach, California. You can contact this provider via phone number 3107981515 and fax number 3107983131. The mailing address for William James Wickwire is 520 N Prospect Ave, Redondo Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William James Wickwire |
|---|---|
| Address | 520 N Prospect Ave, Redondo Beach, California |
| Phone Number | 3107981515 |
| Fax Number | 3107983131 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1699779660 |
|---|---|
| Provider Enumeration Date | 2005-06-08 |
| Last Updated Date | 2014-02-21 |
Provider Mailing Address Detail
| Address | 520 N Prospect Ave |
|---|---|
| City | Redondo Beach |
| State | California (CA) |
| Post Code | 9027730430 |
| Phone Number | 3107981515 |
| Fax Number | 3107983131 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | G65083 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G650830 | CA | -- | |
| WG65083E | CA | PTAN |
Post Comment/ Review Below
What is the unique identifier code issued to William James Wickwire by the Centers for Medicare & Medicaid Services (CMS)?
The William James Wickwire has been assigned the NPI (National Provider Identifier) 1699779660. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where William James Wickwire is physically located?
The William James Wickwire is physically situated at the following address: 520 N Prospect Ave, Redondo Beach, CA, 9027730430.
What is William James Wickwire's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for William James Wickwire is Dermatology, and the taxonomy code that categorizes this field of expertise is 207N00000X.
When was the William James Wickwire's 1699779660 issued?
The William James Wickwire's 1699779660 was issued on 2005-06-08.
When was the information regarding William James Wickwire, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to William James Wickwire, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-02-21.