Individual
DR. PAMELA SUE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
98 POPLAR ST, BLACKFOOT, ID 83221-1758
(208) 785-4100
Mailing address
98 POPLAR ST, BLACKFOOT, ID 83221-1758
(208) 785-4100
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
O-0454
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010163103
REGENCE BLUE SHIELD
ID
01
—
000010167601
RBS LAMERE
ID
01
—
323925
ALTIUS
ID
05
—
807841700
—
ID
01
—
S6167
BLUE CROSS
ID
01
—
S6241
BCS LAMERE
ID
Enumeration date
05/16/2007
Last updated
07/25/2008
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