Healthcare Provider Details

I. General information

NPI: 1184647745
Provider Name (Legal Business Name): D PATRICK WILLIAMS DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 04/01/2021
Certification Date: 04/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 PEACH ST STE 400
ERIE PA
16507-1423
US

IV. Provider business mailing address

100 PEACH ST STE 400
ERIE PA
16507-1423
US

V. Phone/Fax

Practice location:
  • Phone: 814-877-9100
  • Fax: 814-454-8470
Mailing address:
  • Phone: 814-877-9100
  • Fax: 814-454-8470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberOS011213L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: