Individual
DR. TODD E WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 E 30TH ST BLDG B, STE 103, FARMINGTON, NM 87401-8991
(505) 327-1754
(505) 327-1840
Mailing address
PO BOX 5820, FARMINGTON, NM 87499-5820
(505) 327-1754
(505) 327-1840
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
2000-312
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B7802
—
NM
Enumeration date
09/28/2006
Last updated
02/12/2009
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