Williams, Mark D.
Williams, Mark D. is an individual health care provider with primary practice located at 803 S Ponderosa St Suite C, Payson AZ 85541-5521. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Williams, Mark D. can be contacted via phone (928) 472-1222.Contact Information
Primary practice address
803 S Ponderosa St Suite C
Payson AZ 85541-5521
Phone: (928) 472-1222
Fax: (928) 472-1213
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 29945 | Arizona |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 29945 | Arizona |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | G88791 | California |
Profile Details
| NPI number | 1629143144 |
|---|---|
| LBN Legal business name | Williams, Mark D. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2006 |
| Last updated | May 22nd, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629143144 | NPPES |
| Arizona | MEDICAID | 646490 |
Popular Providers
-
Rhyne, Craig Desmond
3509 22Nd St , Lubbock TX 79410-1307 -
Cross, Tracy Glenn
250 Burkesville Rd , Albany KY 42602-1604 -
Palmer, Bruce M
122 E Main St , Payson AZ 85541-5574 -
Seip, Christopher C
820 N Alpha St , Grand Island NE 68803-4320 -
Thames, Elbert Austin
1700 Cogdell Blvd , Snyder TX 79549-6162 -
Raymer, Katharine Ann
803 S Ponderosa St Ste. C, Payson AZ 85541-5521 -
Eells, David A
320 Jones Ave , Oak Hill WV 25901-2909 -
Hines, Paul Michael
6851 Texas Highway 154 S , Sulphur Springs TX 75482-8305