Individual
MR. WILLIAM ELWOOD DEFAZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3911 NORWOOD AVE, SACRAMENTO, CA 95838-3361
(916) 929-8575
Mailing address
3911 NORWOOD AVE, SACRAMENTO, CA 95838-3361
(916) 929-8575
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 19321
CA
Other
Enumeration date
09/06/2007
Last updated
09/06/2007
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