Brian J Williams Md Pc

LBN: Brian J Williams Md Pc
Brian J Williams Md Pc is an health care organization with primary practice located at 602 Fort Union Blvd 2Nd Floor, Midvale UT 84047-2216. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Brian J Williams Md Pc can be contacted via phone (801) 313-1010, or through Williams, Brian Jeffery via phone (801) 313-1010.

Contact Information

Primary practice address
602 Fort Union Blvd 2Nd Floor Midvale UT 84047-2216
Phone: (801) 313-1010
Fax: (801) 747-2116
Website:
Map and Directions
Authorized official contact:
Name: Williams, Brian Jeffery Doctor of Medicine (MD)
Phone: (801) 313-1010

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 5322538-1205 Utah

Profile Details

NPI number 1255502050
LBN Legal business name Brian J Williams Md Pc
DBA Doing business as
Authorized official Williams, Brian Jeffery Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2008
Last updated Sep 16th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255502050 NPPES
Utah Other D5439 MEDICAID LICENSE NUMBER
Utah MEDICAID 1235162199 MEDICAID LICENSE NUMBER

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