Individual
WARREN KEITH WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
220 SOUTH 12TH AVENUE, MARICOPA COUNTY HEALTH CARE FOR THE HOMELESS, PHOENIX, AZ 85007-3101
(602) 372-2117
(602) 372-2120
Mailing address
220 SOUTH 12TH AVENUE, MARICOPA COUNTY HEALTH CARE FOR THE HOMELESS, PHOENIX, AZ 85007-3101
(602) 372-2117
(602) 372-2120
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2892
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
943896
—
AZ
Enumeration date
05/22/2006
Last updated
01/12/2012
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