# DR. WILLIAM ALLEN RUMACK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1740257542
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | A79561 | CA | Yes |
| 207X00000X | Orthopaedic Surgery Physician | DR38255 | CO | — |
| 207X00000X | Orthopaedic Surgery Physician | K2785 | TX | — |

## Other

- **Enumeration date:** 03/01/2006
- **Last updated:** 05/11/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1104410001 | MEDICARE DME SUPPLIER \# | CA |
| 01 | — | 953718732 | TAX ID \# | CA |
| 01 | — | 955118 | QME \# | CA |
| 01 | — | A79561 | MEDICAL BOARD OF CA | CA |
| 01 | — | DR 38255 | MEDICAL BOARD OF COLORADO | CO |
| 01 | — | K2785 | MEDICAL BOARD OF TEXAS | TX |
| 05 | — | W8424 | — | CA |
| 01 | — | WA79561B | MEDICARE PERFORMING | CA |