Individual
BENJAMIN W WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2312 N NEVADA AVE STE 100, COLORADO SPRINGS, CO 80907-5307
(719) 473-3272
(719) 389-1191
Mailing address
2312 N NEVADA AVE STE 100, COLORADO SPRINGS, CO 80907-5307
(719) 473-3272
(719) 389-1191
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0005455
CO
363AS0400X
Surgical Physician Assistant
PA.0005455
CO
Other
Enumeration date
07/26/2018
Last updated
02/14/2023
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