Individual
DR. MARY L. WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1701 DIVISADERO ST, SAN FRANCISCO, CA 94115-3011
(415) 353-7800
(415) 353-7870
Mailing address
1635 DIVISADERO STREET, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G24961
CA
208000000X
Pediatrics Physician
G24961
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0G2496100
—
CA
Enumeration date
05/06/2006
Last updated
07/23/2008
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