Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | A41224 | CA |
NPI | 1154353795 |
---|---|
Provider Name | William E Hadcock |
First Address | Fresno, CA 93711-0426 |
Second Address | Fresno, CA 93720-2686 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 06/09/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A412240 | (05) | CA |
D13508 | (02) | |
P00334087 | RAILROAD MEDICARE (01) |