Provider Demographics
NPI:1194065060
Name:EATON, WILLIAM JAMES III (MPAS, PA-C)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:JAMES
Last Name:EATON
Suffix:III
Gender:M
Credentials:MPAS, PA-C
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Mailing Address - Street 1:72780 COUNTRY CLUB DR STE B203
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-4150
Mailing Address - Country:US
Mailing Address - Phone:760-674-3847
Mailing Address - Fax:760-674-3845
Practice Address - Street 1:151 S SUNRISE WAY STE 300
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-0129
Practice Address - Country:US
Practice Address - Phone:760-969-7780
Practice Address - Fax:760-969-7781
Is Sole Proprietor?:No
Enumeration Date:2013-02-28
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
CAPA22853363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant