Individual
MR. WILLIAM JAMES PRENTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1119 E ELIZABETH ST, PASADENA, CA 91104-2415
(213) 422-4162
Mailing address
1119 E ELIZABETH ST, PASADENA, CA 91104-2415
(213) 422-4162
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA 15229
CA
Other
Enumeration date
10/05/2009
Last updated
10/05/2009
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