NPI 1003090697

Jordan Ryan Williams, PAC

Practitioner Physician Assistant Santa Maria, CA

Practice location

Address: 1400 E Church St, Santa Maria, CA 93454-5906
Phone: (805) 739-3000

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA19499 (CA)

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Registry record

NPI: 1003090697
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Dec 2007
Record last updated: 7 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.