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Individual
WILLIAM C CONYERS
Active
Individual
WILLIAM C CONYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD00031508
WA
207Q00000X
Family Medicine Physician
D35974
MD
207Q00000X
Family Medicine Physician
Primary
MD00031508
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0222390
LIWA
WA
01
—
0222400
LIWA
WA
05
—
1006786
—
WA
01
—
1210CO
BSWA
WA
01
—
605960010
USDLAB
WA
05
—
8154932
—
WA
01
—
MD00031508
LICENSE
WA
Enumeration date
07/03/2006
Last updated
12/06/2012
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