Doctor Name: | DR. WILLIAM MICHAEL CULVER |
NPI Number: | 1396791992 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | G32582 |
Business Practice Address: | 6156 Pony Express Trl Pollock Pines, CA - 957269649 |
Business Phone Number: | 5306446044 |
Business Fax Number: | 5306440125 |
Mailing Address: | 6156 Pony Express Trl, POLLOCK PINES |
State: | CA |
Postal Code: | 957269649 |
Phone Number: | 5306446044 |
Fax Number: | 5306440125 |
NPI Enumeration Date: | 05/25/2006 |
NPI Last Update Date: | 03/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | G32582 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |