Stephen W Williamson PA

NPI 1740395094 - Physician Assistant - 363A00000X

NPI Details
NPI 1740395094
Gender Male
Enumeration Date 08/20/2006
Last Updated 02/04/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
6533 W EMERALD ST
BOISE ID, 83704-8737, US
Phone (208) 367-4170
Fax (208) 367-8135
Business Location
3340 E GOLDSTONE WAY
MERIDIAN ID, 83642-1026, US
Phone (208) 367-5170
Fax (208) 367-5180
Toxanomy
Taxonomy Code 363A00000X
License State Texas
License Number PA03539
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According to our database, Stephen W Williamson PA NPI is 1740395094, taxonomy code is 363A00000X and license number is PA03539, license state is located at Texas. Stephen W Williamson PA physically located at 6533 W Emerald St, Boise ID, 83704-8737. NPI Number Stephen W Williamson PA has the Individual type.

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1740395094 NPI number is provided on an as is basis without warranty of any kind. 1740395094 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen W Williamson PA are for informational purposes only.