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Organization
WILLIAM VAN DER REIS MD INC
Active
Organization
WILLIAM VAN DER REIS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM L VAN DER REIS MD (PRESIDENT)
(949) 661-2423
Entity
Organization
Contact information
Practice address
653 CAMINO DE LOS MARES, SUITE 109, SAN CLEMENTE, CA 92673-2808
(949) 661-2423
(949) 661-9205
Mailing address
653 CAMINO DE LOS MARES, SUITE 109, SAN CLEMENTE, CA 92673-2808
(949) 661-2423
(949) 661-9205
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G81476
CA
Other
Enumeration date
01/05/2010
Last updated
04/27/2010
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