William James Wickwire, MD

NPI #1699779660 in Redondo Beach, California

Provider Information

NPI Number: 1699779660
Entity Type: Individual
Name: William James Wickwire, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dermatology
Credential: MD
Enumeration Date: Jun 8, 2005
Last Updated: Feb 21, 2014

Practice Location

Address: 520 N PROSPECT AVE
Address 2: STE 302
City: Redondo Beach
State: California
ZIP Code: 90277-3043
Phone: (310) 798-1515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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