Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | G43671 | CA |
NPI | 1013922467 |
---|---|
Provider Name | William James Gealy JR. |
First Address | Templeton, CA 93465-8765 |
Second Address | Templeton, CA 93465 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2006 |
Last Update Date | 12/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G436710 | (05) | CA |
A49424 | (02) | CA |