MEDICARE: DONALD K WILLIAMS DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	OP-2052	WA

General Provider Information

NPI Number	:	1225063100
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD K WILLIAMS DO

Provider Business Mailing Address
First Line	:	2310 N CHERRY ST STE 200
Second Line	:
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99216-1152
Country	:	US
Telephone Number	:	509-991-3054
Fax Number	:	509-926-4669

Provider Business Practice Location Address
First Line	:	2310 N CHERRY ST STE 200
Second Line	:
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99216-1152
Country	:	US
Telephone Number	:	509-991-3054
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	06/22/2021

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