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Individual

DR. WILLIAM MICHAEL CARRAGHER III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
7235 SANTA MONICA BLVD, WEST HOLLYWOOD, CA 90046-6724
(805) 823-8204
(805) 823-8209
Mailing address
7235 SANTA MONICA BLVD, WEST HOLLYWOOD, CA 90046-6724
(805) 823-8204
(805) 823-8209

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A7692
CA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20A7692
CA
208D00000X
General Practice Physician
20A7692
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20A7692
BLUE CROSS PROVIDER NUM
CA
Enumeration date
08/15/2006
Last updated
12/10/2009
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