Basic Information
| Provider Information | |||||||||
| NPI: | 1114062684 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MCLEOD | ||||||||
| FirstName: | WILLIAM | ||||||||
| MiddleName: | ALEXANDER | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2114 HILLRIDGE DR | ||||||||
| Address2: | |||||||||
| City: | FAIRFIELD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945347949 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7073444005 | ||||||||
| FaxNumber: | 7074298296 | ||||||||
| Practice Location | |||||||||
| Address1: | 320 H ST | ||||||||
| Address2: | SUITE 2 | ||||||||
| City: | MARYSVILLE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 959015834 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5307427747 | ||||||||
| FaxNumber: | 5307427642 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/21/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207QA0401X | 20A6631 | CA | Y | Allopathic & Osteopathic Physicians | Family Medicine | Addiction Medicine |
No ID Information.