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Individual

DEREK JAMES WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
204 WINSLOW ROAD, CLANCY, MT 59634
(406) 461-0875
Mailing address
PO BOX 256, CLANCY, MT 59634-0256
(406) 461-0875

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10496
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
72539
MT
Enumeration date
08/09/2006
Last updated
05/21/2012
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