Individual
MR. JUSTIN D WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
650 E 250 S, HEBER CITY, UT 84032-2149
(435) 671-0031
Mailing address
1485 S HIGHWAY 40, HEBER CITY, UT 84032-3522
(435) 654-2500
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
074792
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
911387900
—
MO
Enumeration date
05/31/2006
Last updated
01/19/2012
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