MEDICARE: WILLIAM HOWARD

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	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1710301544
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM HOWARD

Provider Business Mailing Address
First Line	:	90 HOPE DR
Second Line	:	BLDG 6000
City	:	MOUNTAIN HOME AFB
State	:	ID
Zip	:	83648-1057
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1910 ROSEMONT AVE STE D
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21702-8249
Country	:	US
Telephone Number	:	301-901-0805
Fax Number	:

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

Provider Enumeration Date	:	02/13/2014
Last Update Date	:	09/04/2025

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