Provider Demographics
NPI:1366542953
Name:PREY, WILLIAM TAYLOR (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:TAYLOR
Last Name:PREY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2345 CALIFORNIA ST
Mailing Address - Street 2:SUITE #1
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-2747
Mailing Address - Country:US
Mailing Address - Phone:415-346-8599
Mailing Address - Fax:415-389-6935
Practice Address - Street 1:2345 CALIFORNIA ST
Practice Address - Street 2:SUITE #1
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-2747
Practice Address - Country:US
Practice Address - Phone:415-346-8599
Practice Address - Fax:415-389-6935
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-23
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG453862084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA50011Medicare UPIN