Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 604114-9924 | UT |
NPI | 1093898157 |
---|---|
Provider Name | Dr. William Lecile Mcbee |
First Address | Pleasant Grove, UT 84062-9104 |
Second Address | Provo, UT 84601-1541 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
209018 | IHC (01) | |
U91644 | (02) |