Healthcare Provider Details

I. General information

NPI: 1568686434
Provider Name (Legal Business Name): DAVID JOHN WILLIAMS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY OF COLORADO SCHOOL OF MEDICINE 4200 E. 9TH AVE
DENVER CO
80262-0001
US

IV. Provider business mailing address

UNIVERSITY OF COLORADO SCHOOL OF MEDICINE 4200 E. 9TH AVE
DENVER CO
80262-0001
US

V. Phone/Fax

Practice location:
  • Phone: 303-315-7424
  • Fax:
Mailing address:
  • Phone: 303-315-7424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: