Individual
GREGORY A WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
2600 DODSON ST STE 3, PORT HUENEME, CA 93043-4432
(805) 982-5945
Mailing address
1563 FLYNN RD APT 5106, CAMARILLO, CA 93012-5818
(360) 929-0074
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
02/04/2013
Last updated
03/16/2014
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