Individual
STEPHEN M WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
425 IDAHO STREET, GOODING, ID 83330
(208) 934-5900
(208) 934-5719
Mailing address
PO BOX 447, GOODING, ID 83330
(208) 934-5900
(208) 934-5719
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA628
ID
Other
Enumeration date
10/18/2006
Last updated
08/24/2018
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