Provider Demographics
NPI:1992734412
Name:HARDEN, WILLIAM S (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:S
Last Name:HARDEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2510 AIRPARK DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-2449
Mailing Address - Country:US
Mailing Address - Phone:530-244-4034
Mailing Address - Fax:530-244-1821
Practice Address - Street 1:2510 AIRPARK DR
Practice Address - Street 2:SUITE 201
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-2449
Practice Address - Country:US
Practice Address - Phone:530-244-4034
Practice Address - Fax:530-244-1821
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2020-01-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG79976207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G799760Medicaid
CA00G799760Medicaid
CA00G799760Medicare ID - Type Unspecified