Provider Demographics
NPI:1063475382
Name:TODD, WILLIAM MCCLINTOCK (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:MCCLINTOCK
Last Name:TODD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1201 BROAD ROCK BLVD
Mailing Address - Street 2:MCGUIRE VAMC, PATHOLOGY (113)
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23249-0001
Mailing Address - Country:US
Mailing Address - Phone:804-675-5000
Mailing Address - Fax:804-675-5518
Practice Address - Street 1:1201 BROAD ROCK BLVD
Practice Address - Street 2:MCGUIRE VAMC, PATHOLOGY (113)
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23249-0001
Practice Address - Country:US
Practice Address - Phone:804-675-5000
Practice Address - Fax:804-675-5518
Is Sole Proprietor?:No
Enumeration Date:2006-04-08
Last Update Date:2007-07-08
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101035401207ZH0000X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematology
Not Answered207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology