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Individual

STEVEN W WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8854 W EMERALD ST STE 140, BOISE, ID 83704
(208) 321-4790
Mailing address
8854 W EMERALD ST STE 140, BOISE, ID 83704-4845
(208) 321-4790

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M-8561
ID
208600000X
Surgery Physician
M8561
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010139022
BLUE SHIELD
ID
01
000010139052
BLUE SHIELD
ID
01
020052923
RAILROAD MEDICARE
ID
01
48975
BLUE CROSS
ID
05
806383500
ID
01
J6675
BLUE CROSS
ID
Enumeration date
10/21/2005
Last updated
06/26/2018
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