Provider Demographics
NPI:1780719393
Name:DESCHNER, WILLIAM HENRY (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:HENRY
Last Name:DESCHNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1570
Mailing Address - Street 2:
Mailing Address - City:LAKE ARROWHEAD
Mailing Address - State:CA
Mailing Address - Zip Code:92352-1570
Mailing Address - Country:US
Mailing Address - Phone:909-336-2156
Mailing Address - Fax:909-336-0507
Practice Address - Street 1:29099 HOSPITAL RD
Practice Address - Street 2:STE 114
Practice Address - City:LAKE ARROWHEAD
Practice Address - State:CA
Practice Address - Zip Code:92352-1570
Practice Address - Country:US
Practice Address - Phone:909-336-2156
Practice Address - Fax:909-336-0507
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC50030207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1215915293OtherNPI