Individual
DR. TREVOR M WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6555 COYLE AVE, CARMICHAEL, CA 95608-0302
(916) 536-3665
(916) 536-3593
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A87074
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A87074
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0100250
—
CA
Enumeration date
06/05/2009
Last updated
03/21/2016
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