Individual
TERRY LANCE WILLIAMS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1496 N HIGLEY RD, 104, GILBERT, AZ 85234-1601
(480) 279-4400
Mailing address
1496 N HIGLEY RD, 104, GILBERT, AZ 85234-1601
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1101
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
73970801
—
AZ
Enumeration date
05/19/2006
Last updated
07/08/2007
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