Provider Demographics
NPI:1407904584
Name:PREVITE, WILLIAM JOSEPH (DO)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JOSEPH
Last Name:PREVITE
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Gender:M
Credentials:DO
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Mailing Address - Street 1:7525 LINDA VISTA RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111-5344
Mailing Address - Country:US
Mailing Address - Phone:858-650-3030
Mailing Address - Fax:858-650-3033
Practice Address - Street 1:7525 LINDA VISTA RD
Practice Address - Street 2:SUITE C
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-5344
Practice Address - Country:US
Practice Address - Phone:858-650-3030
Practice Address - Fax:858-650-3033
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2011-08-11
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Provider Licenses
StateLicense IDTaxonomies
CA20A005466207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine