Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | 20A6631 | CA |
NPI | 1114062684 |
---|---|
Provider Name | Dr. William Alexander Mcleod |
First Address | Fairfield, CA 94534-7949 |
Second Address | Marysville, CA 95901-5834 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2007 |
Last Update Date | 08/07/2007 |