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Individual

RYAN D WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
605 S COOLIDGE ST, MOSES LAKE, WA 98837-1893
(509) 765-0674
(509) 766-8993
Mailing address
1208 W FRANKLIN ST # A, MOSES LAKE, WA 98837-1342
(208) 521-4259

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
10/15/2009
Last updated
10/15/2009
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