Basic Information
Provider Information
NPI: 1760595615
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DENNEY
FirstName: WILLIAM
MiddleName: D
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1717 N E ST
Address2: SUITE 331
City: PENSACOLA
State: FL
PostalCode: 325016339
CountryCode: US
TelephoneNumber: 8504846500
FaxNumber: 8508571747
Practice Location
Address1: 1851 N MCKENZIE ST
Address2: SUITE 202
City: FOLEY
State: AL
PostalCode: 365354700
CountryCode: US
TelephoneNumber: 2519432750
FaxNumber: 2519435294
Other Information
ProviderEnumerationDate: 08/16/2006
LastUpdateDate: 01/05/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000X17973ALY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207RC0000XME122271FLN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


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