Individual
MR. JORDAN KAZUO WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
555 N ARLINGTON AVE, RENO, NV 89503-4723
(757) 786-3040
(775) 786-1358
Mailing address
555 N ARLINGTON AVE, RENO, NV 89503-4723
(757) 786-3040
(775) 786-1358
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
60518
CA
363AS0400X
Surgical Physician Assistant
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14966313
CAQH
—
Enumeration date
06/27/2019
Last updated
05/26/2022
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