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Individual

BRIAN K WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2115 STUART AVE, ALAMOSA, CO 81101-2269
(719) 589-8082
(719) 587-6354
Mailing address
106 BLANCA AVE, ALAMOSA, CO 81101-2340
(719) 587-1417
(719) 587-6324

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
51706
CO
207Q00000X
Family Medicine Physician
N4843
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
23583053
CO
Enumeration date
05/21/2007
Last updated
06/10/2013
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