Individual
WILLIAM PERRINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
131 ELEANOR DR, WOODSIDE, CA 94062-1113
(650) 780-0670
Mailing address
131 ELEANOR DR, WOODSIDE, CA 94062-1113
(650) 780-0670
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
G54897
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G54897
STATE MEDICAL LICENSE
CA
Enumeration date
12/18/2020
Last updated
12/18/2020
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