Individual
DR. MARK THOMAS WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1219 WATERVLIET AVE, DAYTON, OH 45420-2705
(937) 256-2292
(937) 256-9905
Mailing address
1219 WATERVLIET AVE, DAYTON, OH 45420-2705
(937) 256-2292
(937) 256-9905
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1530
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000568
ANTHEM COMMUNITY INS CO
OH
05
—
0875423
—
OH
Enumeration date
03/12/2007
Last updated
07/08/2007
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