Individual
MARK D. WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
803 S PONDEROSA ST, SUITE C, PAYSON, AZ 85541-5521
(928) 472-1222
(928) 472-1213
Mailing address
1065 BUCKS LAKE RD, QUINCY, CA 95971-9507
(530) 283-2121
(530) 283-7953
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
29945
AZ
208600000X
Surgery Physician
G88791
CA
2086S0127X
Trauma Surgery Physician
29945
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
646490
—
AZ
Enumeration date
11/21/2006
Last updated
05/22/2015
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