Individual
DR. AMANDA CLARE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
703 S AMERICANA BLVD STE 150, BOISE, ID 83702-4976
(208) 706-6395
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
11414354-1205
UT
2084P0800X
Psychiatry Physician
Primary
M-167614
ID
Other
Enumeration date
04/11/2018
Last updated
09/15/2022
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