Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | G034044 | CA |
NPI | 1134196256 |
---|---|
Provider Name | Dr. William L Bargar |
First Address | Fair Oaks, CA 95628-4106 |
Second Address | Fair Oaks, CA 95628-4106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2006 |
Last Update Date | 11/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G340440 | (05) | CA |
A45766 | (02) | CA |