William James Deardorff
Internal Medicine, Geriatric Medicine in San Francisco, CA. Individual provider (NPI-1).
NPI number1003348830
StatusActive
Last updated in NPPESJul 15, 2024
Details
- NPI
- 1003348830
- Entity type
- Individual (NPI-1)
- Name
- William James Deardorff
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 30, 2017
- Certification date
- Jul 8, 2024
- Last updated
- Jul 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0300X | Internal Medicine, Geriatric Medicine | A169642 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
505 Parnassus Ave15 Long
San Francisco, CA 94143
Phone 415-406-1417 · Fax 415-514-8192
Mailing address
505 Parnassus Ave15 Long
San Francisco, CA 94143
Phone 415-406-1417 · Fax 415-514-8192
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