Individual
TRAE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
559 VINCENT ST SPC BASE, COLORADO SPRINGS, CO 80914-1541
(719) 556-5626
Mailing address
559 VINCENT ST SPC BASE, COLORADO SPRINGS, CO 80914-1541
(720) 628-6697
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2024
Last updated
07/24/2025
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