DR. William L Van Der Reis
NPI #1710911078 in San Clemente, California
Provider Information
- NPI Number
- 1710911078
- Entity Type
- Individual
- Name
- DR. William L Van Der Reis
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Enumeration Date
- Jul 10, 2006
- Last Updated
- Apr 22, 2014
Practice Location
- Address
- 653 CAMINO DE LOS MARES STE 109
- City
- San Clemente
- State
- California
- ZIP Code
- 92673-2808
- Phone
- (949) 661-2423
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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