Williams, Penny J

Williams, Penny J is an individual health care provider with primary practice located at 3330 N 2Nd St Ste 300 , Phoenix AZ 85012-2369. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is her primary health care specialty. Williams, Penny J can be contacted via phone (602) 261-7830.

Contact Information

Primary practice address
3330 N 2Nd St Ste 300 Phoenix AZ 85012-2369
Phone: (602) 261-7830
Fax: (602) 261-7835
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 66867 Tennessee
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 26291 Arizona
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD202003 Oregon
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 18810 South Carolina
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 910 Wisconsin
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MD202003 Oregon

Profile Details

NPI number 1588649453
LBN Legal business name Williams, Penny J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated May 6th, 2024 - about 4 months 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 1588649453 NPPES
Arizona MEDICAID 420935

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