Individual
WALTER LEROY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1433 5TH ST., CLARKSTON, WA 99403-2714
(509) 758-5141
(509) 758-5299
Mailing address
1433 5TH ST., CLARKSTON, WA 99403-2714
(509) 758-5141
(509) 758-5299
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD00041565
WA
207N00000X
Dermatology Physician
Primary
MD00041565
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010139009
REGENCE BLUE SHIELD PROV.
ID
01
—
030734610
PREMERA BLUE CROSS #
WA
01
—
1117878
WASHINGTON MEDICAID #
WA
01
—
72157
BLUE CROSS OF IDAHO
ID
05
—
806377300
—
ID
01
—
MD00041565
WASHINGTON LICENSE
WA
01
—
P00007739
RAILROAD MEDICARE #
WA
Enumeration date
03/16/2006
Last updated
03/15/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us