Provider Demographics
NPI:1932147253
Name:PALACE, WILLIAM G (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:G
Last Name:PALACE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3700 BAY DR
Mailing Address - Street 2:
Mailing Address - City:EDGEWATER
Mailing Address - State:MD
Mailing Address - Zip Code:21037-4128
Mailing Address - Country:US
Mailing Address - Phone:301-261-7469
Mailing Address - Fax:301-261-7469
Practice Address - Street 1:2501 PARKERS LN
Practice Address - Street 2:INOVA MOUNT VERNON HOSPITAL EMER DEPT
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22306-3209
Practice Address - Country:US
Practice Address - Phone:703-664-7112
Practice Address - Fax:703-664-7531
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2010-06-15
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Provider Licenses
StateLicense IDTaxonomies
VA0101035302207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine