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NPI Code Detail

MEDICARE: SALLY A WILLIAMS DO

MEDICARE:   SALLY A WILLIAMS  DO
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
1207Q00000XFamily Medicine Physician46021WI
2207Q00000XFamily Medicine Physician8912SD

Other Identifiers

General Provider Information

NPI Number : 1598755001
Entity Type Code : Individual
Provider Name (Legal Business Name) : SALLY A WILLIAMS DO
Provider Business Mailing Address
First Line : 1000 E 23RD ST
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57105-2108
Country : US
Telephone Number : 605-322-3241
Fax Number :
Provider Business Practice Location Address
First Line : 1000 E 23RD ST
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57105-2108
Country : US
Telephone Number : 605-322-3241
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2005
Last Update Date : 02/19/2014

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Directions to “ SALLY A WILLIAMS DO” Practice Location

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