Individual
JEFFERY ALAN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1130 MAJOR AVE, FREMONT FAMILY PRACTICE, RIVERTON, WY 82501-2342
(307) 856-7800
Mailing address
1549 MARTY CIR, WEST JORDAN, UT 84084-2411
(801) 580-4948
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 2592
FL
Other
Enumeration date
10/29/2007
Last updated
10/31/2008
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