Provider Demographics
NPI:1770722845
Name:STEWART, WILLIAM CHARLES (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:CHARLES
Last Name:STEWART
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:15 VINTAGE CANYON ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89141-6044
Mailing Address - Country:US
Mailing Address - Phone:843-327-0316
Mailing Address - Fax:888-808-9564
Practice Address - Street 1:109 E 17TH ST
Practice Address - Street 2:SUITE 3407
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001-4543
Practice Address - Country:US
Practice Address - Phone:843-606-0776
Practice Address - Fax:888-808-9564
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-13
Last Update Date:2015-01-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SCMD 13529207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology