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Individual

DANIEL A WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
19465 DEERFIELD AVE STE 405, LEESBURG, VA 20176-1707
(703) 858-1800
(703) 858-1801
Mailing address
19465 DEERFIELD AVE STE 405, LEESBURG, VA 20176-1707
(703) 858-1800
(703) 858-1801

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
110002527
VA
363A00000X
Physician Assistant
PA882
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
431870199
ME
Enumeration date
10/19/2006
Last updated
02/20/2019
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