NPI 1699856344

Stephen M Williams, PAC

Practitioner Physician Assistant Gooding, ID

Practice location

Address: 425 Idaho Street, Gooding, ID 83330
Phone: (208) 934-5900
Fax: (208) 934-5719
Mailing address: PO Box 447, Gooding, ID 83330

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA628 (ID)

Other Physician Assistant providers in Idaho →

Registry record

NPI: 1699856344
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Oct 2006
Record last updated: 24 Aug 2018

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.