Provider Demographics
NPI:1225252539
Name:TEUFEL, WILLIAM LOCKWOOD (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:LOCKWOOD
Last Name:TEUFEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 471
Mailing Address - Street 2:437 MEADOW WAY
Mailing Address - City:SAN GERONIMO
Mailing Address - State:CA
Mailing Address - Zip Code:94963-0471
Mailing Address - Country:US
Mailing Address - Phone:415-488-4014
Mailing Address - Fax:415-488-4838
Practice Address - Street 1:250 BON AIR RD
Practice Address - Street 2:BOX 8010
Practice Address - City:GREENBRAE
Practice Address - State:CA
Practice Address - Zip Code:94904-1702
Practice Address - Country:US
Practice Address - Phone:415-925-7200
Practice Address - Fax:415-925-7219
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAC30361207PH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PH0002XAllopathic & Osteopathic PhysiciansEmergency MedicineHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA34234Medicare UPIN