Individual
DR. MARK K WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
165 LILLY RD NE STE A, OLYMPIA, WA 98506-5028
(360) 438-9092
(360) 438-3906
Mailing address
165 LILLY RD NE STE A, OLYMPIA, WA 98506-5028
(360) 438-9092
(360) 438-3906
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO00000429
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1302363
—
WA
01
—
480025913
MEDICARE RR
—
01
—
54484
L&I
WA
01
—
WI6319
REGENCE
WA
Enumeration date
07/19/2006
Last updated
05/15/2010
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