Individual
WILLIAM CLARENCE WILLIARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3920 CAPITOL MALL DR SW, SUITE 201, OLYMPIA, WA 98502-8700
(360) 754-1029
(360) 754-7885
Mailing address
3920 CAPITOL MALL DR SW, SUITE 201, OLYMPIA, WA 98502-8700
(360) 754-1029
(360) 754-7885
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD00029497
WA
208600000X
Surgery Physician
Primary
MD00029497
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8272346
—
WA
01
—
GAB21325
PTAN
WA
Enumeration date
05/20/2006
Last updated
02/05/2013
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