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William R Clegg, M.D.

Ophthalmology in Loma Linda, CA. Individual provider (NPI-1).

NPI number1790717403
StatusActive
Last updated in NPPESSep 24, 2007

Details

NPI
1790717403
Entity type
Individual (NPI-1)
Name
William R Clegg
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 6, 2006
Last updated
Sep 24, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207W00000X OphthalmologyA20217CAYes

Practice location

11370 Anderson St
Suite 1800
Loma Linda, CA 92354-3450

Phone 909-558-2180

Mailing address

54701 File Number
Los Angeles, CA 90074-4701

Phone 909-558-3111

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