Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223X0400X | Orthodontists | 0201307010 | UT |
Y | 1223X0400X | Orthodontists | 22191 | CA |
NPI | 1063626505 |
---|---|
Provider Name | Dr. Willard Emery Zurcher |
First Address | Fairfield, CA 94533 |
Second Address | Fairfield, CA 94533 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2007 |
Last Update Date | 08/07/2007 |