Organization Name: | WALTER WILLIAMS |
NPI Number: | 1528103579 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WALTER LEROY WILLIAMS (DOCTOR-OWNER) |
Mailing Address: | 1119 Highland Ave Ste 1 Clarkston |
State: | WA US |
Postal Code: | 994032836 |
Phone Number: | 5097585141 |
Fax Number: | 5097585299 |
NPI Enumeration Date: | 02/20/2007 |
NPI Last Update Date: | 06/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD00041565 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |