Provider Demographics
NPI:1316759053
Name:GARTNER, WILLIAM II
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:GARTNER
Suffix:II
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 1:145 LOMBARDY LN
Mailing Address - Street 2:
Mailing Address - City:BANNING
Mailing Address - State:CA
Mailing Address - Zip Code:92220-1913
Mailing Address - Country:US
Mailing Address - Phone:949-922-2697
Mailing Address - Fax:
Practice Address - Street 1:145 LOMBARDY LN
Practice Address - Street 2:
Practice Address - City:BANNING
Practice Address - State:CA
Practice Address - Zip Code:92220-1913
Practice Address - Country:US
Practice Address - Phone:949-922-2697
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other