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Individual

MR. MARK WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
691 MURPHY ROAD, SUITE 107, MEDFORD, OR 97504-8383
(541) 789-6460
(541) 789-6461
Mailing address
2620 EAST BARNETT ROAD, SUITE H, MEDFORD, OR 97504-8383
(541) 789-4281
(541) 789-5538

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA152965
OR

Other

Enumeration date
10/19/2010
Last updated
10/15/2020
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