NPI 1124319801

Berkley Leo Williams, PAC

Practitioner Medical Physician Assistant Manassas, VA

Practice location

Address: 8708 Sudley Rd, Manassas, VA 20110-4405
Phone: (703) 530-1226
Fax: (703) 530-1228

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 0110840786 (VA)

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Registry record

NPI: 1124319801
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Apr 2011
Record last updated: 28 Apr 2011

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.