Individual
SHANNON ALEXANDRIA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22805 5TH ST, RAPID CITY, SD 57701
(605) 719-5700
(605) 719-5701
Mailing address
353 FAIRMONT BLVD, ATTEN MEDICAL STAFF SERVICES, RAPID CITY, SD 57701-6000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
8001
SD
Other
Enumeration date
11/03/2005
Last updated
04/18/2013
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