Individual
DAVID WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 BROOKSIDE AVE UNIT 744, REDLANDS, CA 92373-2530
(909) 335-5500
Mailing address
201 BROOKSIDE AVE UNIT 744, REDLANDS, CA 92373-2530
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
Primary
57409
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DCWILLIAMS19
—
CA
Enumeration date
05/22/2019
Last updated
09/26/2023
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