1710280565 NPI number — DR RYAN RAYMOND WILLIAMS MD PC

Table of content: (NPI 1710280565)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710280565 NPI number — DR RYAN RAYMOND WILLIAMS MD PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DR RYAN RAYMOND WILLIAMS MD PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1710280565
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/06/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1512
Provider Second Line Business Mailing Address:
190 S 100 W
Provider Business Mailing Address City Name:
BEAVER
Provider Business Mailing Address State Name:
UT
Provider Business Mailing Address Postal Code:
84713-1512
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
435-327-2484
Provider Business Mailing Address Fax Number:
435-438-6352

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
190 SOUTH 100 WEST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BEAVER
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84713-1512
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
435-327-2484
Provider Business Practice Location Address Fax Number:
435-438-6352
Provider Enumeration Date:
12/17/2010

Additional Information

Authorized Official

Authorized Official Last Name:
WILLIAMS
Authorized Official First Name:
RYAN
Authorized Official Middle Name:
RAYMOND
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
435-327-2484

Provider Taxonomy Codes

  • Taxonomy code: 2084P0804X , with the licence number:  338570-1205 , registered in the state of UT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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