Basic Information
| Provider Information | |||||||||
| NPI: | 1194065060 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | EATON | ||||||||
| FirstName: | WILLIAM | ||||||||
| MiddleName: | JAMES | ||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | III | ||||||||
| Credential: | MPAS, PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 72780 COUNTRY CLUB DR STE B203 | ||||||||
| Address2: | |||||||||
| City: | RANCHO MIRAGE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 922704150 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7606743847 | ||||||||
| FaxNumber: | 7606743845 | ||||||||
| Practice Location | |||||||||
| Address1: | 151 S SUNRISE WAY STE 300 | ||||||||
| Address2: | |||||||||
| City: | PALM SPRINGS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 922620129 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7609697780 | ||||||||
| FaxNumber: | 7609697781 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/28/2013 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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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 | 363A00000X | PA22853 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
No ID Information.