Individual
ANDREA WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30 N 1900 E RM 3B324, SALT LAKE CITY, UT 84132-0002
(801) 581-6803
Mailing address
30 N 1900 E RM 3B324, SALT LAKE CITY, UT 84132-0002
(801) 581-6803
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
11414319-1205
UT
Other
Enumeration date
03/26/2018
Last updated
09/17/2019
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