Individual
ANGELO WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2209 E 32ND ST, TACOMA, WA 98404-4922
(253) 593-0232
Mailing address
2209 E 32ND ST, TACOMA, WA 98404-4922
(253) 593-0232
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP61366754
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
297847
LICENSE
NY
Enumeration date
03/06/2017
Last updated
02/21/2023
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