Provider Demographics
NPI:1780642884
Name:BUGBEE, WILLIAM DICK (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:DICK
Last Name:BUGBEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10666 NORTH TORREY PINES RD
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-1027
Mailing Address - Country:US
Mailing Address - Phone:858-554-7993
Mailing Address - Fax:858-554-6321
Practice Address - Street 1:10666 NORTH TORREY PINES RD
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1027
Practice Address - Country:US
Practice Address - Phone:858-554-7993
Practice Address - Fax:858-554-6321
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2009-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG66930207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G669300Medicaid
CAF95425Medicare UPIN
CAWG66930BMedicare ID - Type Unspecified