# APEX ADVANCED SPINE & PAIN PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164218269
- **Authorized official:** DR. JASON WILLIAMS MD (OWNER)
- **Authorized official phone:** (303) 903-8003

## Contact information

- **Practice address:** 2960 E ST LUKES ST, MERIDIAN, ID 83642
- **Practice address phone:** (208) 992-4111
- **Mailing address:** 10400 W OVERLAND RD UNIT 287, BOISE, ID 83709-1433
- **Mailing address phone:** (303) 903-8003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 04/16/2025
- **Last updated:** 06/15/2025