Basic Information
| Provider Information | |||||||||
| NPI: | 1598064776 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NAVARRE | ||||||||
| FirstName: | WILLIAM | ||||||||
| MiddleName: | JAMES | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | III | ||||||||
| Credential: | MPH, MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 333 W HAMPDEN AVE | ||||||||
| Address2: | STE 600 | ||||||||
| City: | ENGLEWOOD | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801102336 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2163867645 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2160 S 1ST AVE | ||||||||
| Address2: | RM 7609 | ||||||||
| City: | MAYWOOD | ||||||||
| State: | IL | ||||||||
| PostalCode: | 601533328 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7082164943 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/27/2011 | ||||||||
| LastUpdateDate: | 07/06/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 125.059858 | IL | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207L00000X | 56848 | CO | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.