Provider Demographics
NPI:1710953674
Name:PRICE, WILLIAM ANTHONY (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ANTHONY
Last Name:PRICE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 591
Mailing Address - Street 2:
Mailing Address - City:CANFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44406-0591
Mailing Address - Country:US
Mailing Address - Phone:330-932-1594
Mailing Address - Fax:330-368-0067
Practice Address - Street 1:15613 PINEVIEW DR STE C
Practice Address - Street 2:
Practice Address - City:EAST LIVERPOOL
Practice Address - State:OH
Practice Address - Zip Code:43920-9096
Practice Address - Country:US
Practice Address - Phone:330-932-1594
Practice Address - Fax:330-368-0067
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-28
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-0511952084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0560745OtherOHIO MEDICARE
OH0682248Medicaid