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Individual

DR. JONATHAN LEVI WILLIAMSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M

Contact information

Practice address
10511 GOLF COURSE RD NW STE 203, ALBUQUERQUE, NM 87114-5917
(505) 872-3333
(505) 880-1002
Mailing address
4343 PAN AMERICAN FWY NE STE 234, ALBUQUERQUE, NM 87107-6831
(505) 880-1000
(505) 880-1002

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
327
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
14207877
NM
Enumeration date
07/28/2009
Last updated
05/30/2023
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