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Individual
WILLIAM A. LADD
Active
Individual
WILLIAM A. LADD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
G63024
CA
2085R0202X
Diagnostic Radiology Physician
Primary
G63024
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G630240
BLUE SHIELD PIN
CA
05
—
00G630240
—
CA
01
—
GU921Y
MEDICARE PTAN
CA
Enumeration date
05/13/2006
Last updated
02/13/2019
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