Individual
DR. DAVID RUSSELL WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
(757) 594-2195
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
(757) 594-2195
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102202214
VA
207Q00000X
Family Medicine Physician
1899
TN
207Q00000X
Family Medicine Physician
E5432
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861686834
—
VA
Enumeration date
08/31/2007
Last updated
12/20/2010
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