Individual
DR. WILLIAM REYNOLDS NESBITT III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2210 DEL PASO RD, SUITE A, SACRAMENTO, CA 95834-9676
(916) 285-8110
(916) 285-8115
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
G0372980
CA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
G37298
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
204096277
TAX IDENTIFICATION NUMBER
CA
Enumeration date
05/16/2006
Last updated
09/08/2014
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