Organization
NAPA VALLEY PLASTIC SURGERY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM J MCCLURE M.D. (PRESIDENT)
(707) 258-6053
Entity
Organization
Contact information
Practice address
1175 TRANCAS ST, NAPA, CA 94558-2907
(707) 258-6053
(707) 253-7255
Mailing address
1175 TRANCAS ST, NAPA, CA 94558-2907
(707) 258-6053
(707) 253-7255
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ135842
BLUE SHIELD OF CA
CA
Enumeration date
08/31/2006
Last updated
08/16/2007
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