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Individual

DR. SHADE ATKINSON WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8 TH AVE AND C ST, SALT LAKE CITY, UT 84143-0001
(801) 408-5482
(801) 408-5481
Mailing address
8 TH AVE AND C ST, SALT LAKE CITY, UT 84143-0001
(801) 408-5482
(801) 408-5481

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD156170
OR
208M00000X
Hospitalist Physician
Primary
8273576-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1164554069
UT
Enumeration date
04/19/2009
Last updated
10/10/2012
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