Provider Demographics
NPI:1689704926
Name:COULTER, WILLIAM HAROLD (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:HAROLD
Last Name:COULTER
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:533 E MICHELTORENA ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93103-2200
Mailing Address - Country:US
Mailing Address - Phone:805-564-8917
Mailing Address - Fax:805-564-8915
Practice Address - Street 1:533 E MICHELTORENA ST
Practice Address - Street 2:SUITE 103
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93103-2200
Practice Address - Country:US
Practice Address - Phone:805-564-8917
Practice Address - Fax:805-564-8915
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2012-05-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC29906207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ74574ZMedicaid
CAZZZ74574ZMedicaid
CAWC29906AMedicare ID - Type UnspecifiedINDIVIDUAL PROVIDER NUMBE