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Individual

DR. DEAN L WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
590 GIFFORD AVE, AMERICAN FALLS, ID 83211-1314
(208) 226-5147
(208) 226-7002
Mailing address
590 GIFFORD AVE, AMERICAN FALLS, ID 83211-1314
(208) 226-5147
(208) 226-7002

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M3687
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004009300
ID
Enumeration date
11/18/2005
Last updated
01/03/2011
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