Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | ME65368 | FL |
N | 207ND0101X | MOHS-Micrographic Surgeon | ME65368 | FL |
N | 207ND0900X | Dermatopathologist | ME65368 | FL |
N | 207NS0135X | Procedural Dermatology | ME65368 | FL |
NPI | 1043204365 |
---|---|
Provider Name | Dr. William Arch Welton III |
First Address | Lecanto, FL 34461-8399 |
Second Address | Lecanto, FL 34461-8399 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2005 |
Last Update Date | 22/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
070006784 | SRRGA (01) | FL |
375935100 | (05) | FL |
F48138 | (02) | FL |