MEDICARE: MICHAEL ANTHONY WILLIAMS MD

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	207R00000X	Internal Medicine Physician	37014	CO

General Provider Information

NPI Number	:	1598738031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL ANTHONY WILLIAMS MD

Provider Business Mailing Address
First Line	:	2525 S DOWNING ST
Second Line	:	PORTER PRE-SURGICAL EVALUATION
City	:	DENVER
State	:	CO
Zip	:	80210-5817
Country	:	US
Telephone Number	:	303-765-6892
Fax Number	:

Provider Business Practice Location Address
First Line	:	2525 S DOWNING ST
Second Line	:	PORTER PRE-SURGICAL EVALUATION
City	:	DENVER
State	:	CO
Zip	:	80210-5817
Country	:	US
Telephone Number	:	303-765-6892
Fax Number	:

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

Provider Enumeration Date	:	02/07/2006
Last Update Date	:	09/12/2011

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