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:
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Health care specialties

SpecialtyCodeLicense #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 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629143144 NPPES
Arizona MEDICAID 646490

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