Individual
JASON DOUGLAS WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 302-3700
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
11709074-1205
UT
207LP2900X
Pain Medicine (Anesthesiology) Physician
11709074-1205
UT
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
M-16138
ID
Other
Enumeration date
06/09/2016
Last updated
01/29/2024
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