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NPI Code Detail

MEDICARE: SEAN WILLIAMS D.O.

MEDICARE: SEAN WILLIAMS D.O.
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
1207P00000XEmergency Medicine PhysicianDO2661NV
2207P00000XEmergency Medicine PhysicianOC-0197ID

General Provider Information

NPI Number : 1417488354
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEAN WILLIAMS D.O.
Provider Business Mailing Address
First Line : 901 RANCHO LN STE 135
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-3826
Country : US
Telephone Number : 702-383-7885
Fax Number :
Provider Business Practice Location Address
First Line : 901 RANCHO LN STE 135
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-3826
Country : US
Telephone Number : 702-383-7885
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2017
Last Update Date : 08/23/2022

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Directions to “ SEAN WILLIAMS D.O.” Practice Location

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