Individual
WILLIAM C TA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 AIRPORT ROAD, KIMAW MEDICAL CENTER,, HOOPA, CA 95546-1288
(530) 625-4261
(530) 625-5171
Mailing address
PO BOX 1288, HOOPA, CA 95546-1288
(530) 625-4261
(530) 625-5171
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A118947
CA
Other
Enumeration date
03/11/2008
Last updated
04/04/2013
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