| William H Cherry MD Inc | |
|
25109 Jefferson Ave Ste 100 Murrieta CA 92562-8117 | |
| (951) 698-0440 | |
| (951) 696-9780 |
| Full Name | William H Cherry MD Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 25109 Jefferson Ave Ste 100, Murrieta, California |
| Authorized Official Name and Position | Michael Foutz (CEO) |
| Authorized Official Contact | 9517911111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| William H Cherry MD Inc 1545 W Florida Ave Hemet CA 92543-3814 Ph: (951) 791-1111 | William H Cherry MD Inc 25109 Jefferson Ave Ste 100 Murrieta CA 92562-8117 Ph: (951) 698-0440 |
| NPI Number | 1801807417 |
|---|---|
| Provider Enumeration Date | 08/10/2006 |
| Last Update Date | 05/31/2023 |
| Certification Date | 05/31/2023 |
| Medicare PECOS PAC ID | 9739136516 |
|---|---|
| Medicare Enrollment ID | O20050404000879 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801807417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207R00000X | Internal Medicine | () | Secondary |
| Provider Name | William Cherry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558335356 PECOS PAC ID: 6800843681 Enrollment ID: I20050405000266 |
| Provider Name | Richard J Reynolds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477518520 PECOS PAC ID: 8325146038 Enrollment ID: I20070604000618 |
| Provider Name | Kevin Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710484530 PECOS PAC ID: 5991195133 Enrollment ID: I20211202002256 |
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