Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | DO1710 | NV |
NPI | 1003053828 |
---|---|
Provider Name | Dr. William Ralston Mcgee II |
First Address | Las Vegas, NV 89144-6646 |
Second Address | Las Vegas, NV 89144-6646 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2009 |
Last Update Date | 19/11/2012 |