Provider Demographics
NPI:1801086137
Name:WEARE, WILLIAM (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:
Last Name:WEARE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 170103
Mailing Address - Street 2:
Mailing Address - City:INARAJAN
Mailing Address - State:GU
Mailing Address - Zip Code:96917-0103
Mailing Address - Country:US
Mailing Address - Phone:671-828-7501
Mailing Address - Fax:671-828-7504
Practice Address - Street 1:162 APMAN DRIVE
Practice Address - Street 2:
Practice Address - City:INARAJAN
Practice Address - State:GU
Practice Address - Zip Code:96915
Practice Address - Country:US
Practice Address - Phone:671-828-7501
Practice Address - Fax:671-828-7504
Is Sole Proprietor?:No
Enumeration Date:2007-08-01
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GUM-933207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine