William C Ta, M.D.

NPI #1790955300 in Hoopa, California

Provider Information

NPI Number: 1790955300
Entity Type: Individual
Name: William C Ta, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Credential: M.D.
Enumeration Date: Mar 11, 2008
Last Updated: Apr 4, 2013

Practice Location

Address: 1200 AIRPORT ROAD
Address 2: KIMAW MEDICAL CENTER,
City: Hoopa
State: California
ZIP Code: 95546-1288
Phone: (530) 625-4261

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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