Individual
DR. BRENT RICHARD WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2301
Mailing address
2422 20TH ST SW, JAMESTOWN, ND 58401
(330) 671-7783
(701) 952-4564
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
11253
ND
208800000X
Urology Physician
57.007614
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10698
—
ND
Enumeration date
01/28/2009
Last updated
05/31/2023
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