Most Relevant Information
Provider Data
| NPI Number: | 1003348830 |
| Provider Name: | WILLIAM JAMES DEARDORFF |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/30/2017 |
| Last Updated: | 07/15/2024 |
Provider Practice Location
505 PARNASSUS AVE
15 LONG
SAN FRANCISCO
CA
94143
Practice Location Phone/Fax
| Phone: | 4154061417 |
| Fax: | 4155148192 |
Provider Mailing Location
505 PARNASSUS AVE
15 LONG
SAN FRANCISCO
CA
94143
Provider Mailing Phone/Fax
| Phone: | 4154061417 |
| Fax: | 4155148192 |