William David Carroll in Santa Rosa - Internal Medicine
William David Carroll - NPI 1922005891
William David Carroll is a Internal Medicine in Santa Rosa, California. William David Carroll practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for William David Carroll is 1922005891. The last update date is 2012-02-07.
William David Carroll's current location address is 3536 Mendocino Ave, Santa Rosa, California. You can contact this provider via phone number 7075756049 and fax number 7075462188. The mailing address for William David Carroll is 3536 Mendocino Ave, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William David Carroll |
|---|---|
| Address | 3536 Mendocino Ave, Santa Rosa, California |
| Phone Number | 7075756049 |
| Fax Number | 7075462188 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1922005891 |
|---|---|
| Provider Enumeration Date | 2005-07-06 |
| Last Updated Date | 2012-02-07 |
Provider Mailing Address Detail
| Address | 3536 Mendocino Ave |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954033634 |
| Phone Number | 7075756049 |
| Fax Number | 7075462188 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | A39947 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A399470 | CA | BLUE SHIELD OF CALIFORNIA | |
| 00A399470 | CA | -- | |
| 110105821 | CA | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to William David Carroll by the Centers for Medicare & Medicaid Services?
The William David Carroll has been assigned the NPI (National Provider Identifier) 1922005891. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where William David Carroll is located?
The William David Carroll is situated at the following address: 3536 Mendocino Ave, Santa Rosa, CA, 954033634.
What is William David Carroll's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for William David Carroll is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.
On what date did the William David Carroll receive the assignment of its 1922005891 from the Centers for Medicare & Medicaid Services?
The William David Carroll was issued its 1922005891 by the Centers for Medicare & Medicaid Services on 2005-07-06.
As of what date were the details related to William David Carroll most recently updated or revised?
The information pertaining to William David Carroll, including its address, specialty, and other relevant details, was last updated or revised on 2012-02-07.
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