Individual
DR. DANIEL MARK WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1505 E BRADFORD PKWY, SPRINGFIELD, MO 65804-6566
(417) 322-6622
(417) 350-1935
Mailing address
3600 S NATIONAL AVE, SPRINGFIELD, MO 65807-7311
(417) 322-6622
(417) 350-1935
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2023006787
MO
2084P0800X
Psychiatry Physician
BP20040558
TX
2084P0800X
Psychiatry Physician
E-16820
AR
2084P0800X
Psychiatry Physician
P8566
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200120738
—
MO
01
—
2023006787
MISSOURI LICENSE
MO
Enumeration date
05/26/2011
Last updated
06/15/2023
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