Provider Demographics
NPI:1487335089
Name:BARON, WILLIAM D
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:D
Last Name:BARON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9301 DUFFY LN
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95747-9110
Mailing Address - Country:US
Mailing Address - Phone:916-701-6458
Mailing Address - Fax:
Practice Address - Street 1:9301 DUFFY LN
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95747-9110
Practice Address - Country:US
Practice Address - Phone:916-773-4017
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-26
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist