Individual
ALAN E. WILLIAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
39300 BOB HOPE DR, BANNAN 1101, RANCHO MIRAGE, CA 92270-3203
(760) 341-7088
Mailing address
39300 BOB HOPE DR, BANNAN 1101, RANCHO MIRAGE, CA 92270-3203
(760) 341-7088
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
G68558
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G685580
—
CA
Enumeration date
07/14/2006
Last updated
07/08/2007
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