Doctor Name: | MR. WILLIAM JOSEPH CARLE |
NPI Number: | 1003929415 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | 432 |
Business Practice Address: | 2100 E Calvada Blvd Pahrump, NV - 890485805 |
Business Phone Number: | 7757277535 |
Business Fax Number: | |
Mailing Address: | 120 Eton St, PAHRUMP |
State: | NV |
Postal Code: | 890486118 |
Phone Number: | 7757512619 |
Fax Number: | |
NPI Enumeration Date: | 08/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 432 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |