Provider Demographics
NPI:1215945126
Name:MCREE, WILLIAM E (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:E
Last Name:MCREE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3855 BROAD STREET
Mailing Address - Street 2:STE B
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93401
Mailing Address - Country:US
Mailing Address - Phone:805-545-7881
Mailing Address - Fax:805-548-8785
Practice Address - Street 1:3855 BROAD STREET
Practice Address - Street 2:STE B
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401
Practice Address - Country:US
Practice Address - Phone:805-545-7881
Practice Address - Fax:805-548-8785
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2016-03-30
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Provider Licenses
StateLicense IDTaxonomies
CAG55029207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G550290Medicaid
CAW18344Medicare UPIN
E58955Medicare UPIN