Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | G36731 | CA |
NPI | 1013095637 |
---|---|
Provider Name | William C. Sweeting VI |
First Address | Mill Valley, CA 94941-3924 |
Second Address | Mill Valley, CA 94941-3924 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 15/09/2007 |