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Individual

DR. THOMAS RALPH WILLIAMS IV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
9040 JACKSON AVE, TACOMA, WA 98431-3004
(253) 968-2252
Mailing address
8507 23RD STREET CT W, UNIVERSITY PLACE, WA 98466-2800
(253) 227-6509

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OP60080001
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0102202983
MEDICAL LICENSE
VA
01
12308423
CAQH
01
5101017126
MEDICAL LICENSE
MI
01
OP60080001
WASHINGTON STATE
WA
Enumeration date
03/23/2007
Last updated
03/29/2021
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