Provider Demographics
NPI:1346321924
Name:MCIVER, WILLIAM JAMES II (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JAMES
Last Name:MCIVER
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:BILL
Other - Middle Name:
Other - Last Name:MCIVER
Other - Suffix:II
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3304 SANTA CLARA AVE SE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-1531
Mailing Address - Country:US
Mailing Address - Phone:505-256-0440
Mailing Address - Fax:505-256-0440
Practice Address - Street 1:3304 SANTA CLARA AVE SE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106-1531
Practice Address - Country:US
Practice Address - Phone:505-256-0440
Practice Address - Fax:505-256-0440
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM72-532086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology