Individual
DAVID CRAIG WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3660 GUION RD, STE 101, INDIANAPOLIS, IN 46222-1616
(317) 920-7139
(317) 920-7229
Mailing address
6626 E 75TH ST, STE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
02000773A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000703092
ANTHEM
IN
05
—
100350580A
—
IN
01
—
P00960530
RRMEDICARE
IN
01
—
P01405415
RAILROAD MEDICARE
IN
Enumeration date
03/08/2007
Last updated
03/09/2015
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