Provider Demographics
NPI:1063478105
Name:STEARNS, WILLIAM ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ROBERT
Last Name:STEARNS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:123 DI SALVO AVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-1717
Mailing Address - Country:US
Mailing Address - Phone:408-297-3485
Mailing Address - Fax:408-297-1193
Practice Address - Street 1:123 DI SALVO AVE
Practice Address - Street 2:SUITE E
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-1717
Practice Address - Country:US
Practice Address - Phone:408-297-3485
Practice Address - Fax:408-297-1193
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG19733207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G197330Medicare ID - Type Unspecified
CAA40737Medicare UPIN