Provider Demographics
NPI:1801393236
Name:CAPLIN, WILLIAM C
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:C
Last Name:CAPLIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2230 W MANTUA DR
Mailing Address - Street 2:
Mailing Address - City:SAINT GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-7490
Mailing Address - Country:US
Mailing Address - Phone:435-619-1233
Mailing Address - Fax:435-799-2563
Practice Address - Street 1:3663 PIONEER PKWY STE 1
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:UT
Practice Address - Zip Code:84765-5480
Practice Address - Country:US
Practice Address - Phone:435-500-2563
Practice Address - Fax:435-799-2563
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-11
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5697313-4405363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner