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NPI Code Detail

MEDICARE: SARA MARIE WILLIAMS

MEDICARE: SARA MARIE WILLIAMS
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
1363A00000XPhysician Assistant7471358ID

General Provider Information

NPI Number : 1588382733
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA MARIE WILLIAMS
Provider Business Mailing Address
First Line : 1441 NE 10TH AVE
Second Line :
City : PAYETTE
State : ID
Zip : 83661-5420
Country : US
Telephone Number : 208-642-9376
Fax Number :
Provider Business Practice Location Address
First Line : 207 E 12TH ST
Second Line :
City : EMMETT
State : ID
Zip : 83617-3626
Country : US
Telephone Number : 208-365-1065
Fax Number : 208-365-1068
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2022
Last Update Date : 01/15/2026

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Directions to “ SARA MARIE WILLIAMS ” Practice Location

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