Individual
MS. JANET L WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1225 FORT UNION BLVD STE 200, MIDVALE, UT 84047-1882
(801) 233-4400
(801) 233-4410
Mailing address
1513 ROSANNA LN, ALPINE, UT 84004-1879
(801) 763-9786
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
52725311206
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52725311206
STATE LICENSE
UT
Enumeration date
05/23/2007
Last updated
09/18/2008
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