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NPI Code Detail

MEDICARE: CANDYCE WILLIAMS MD, P L C

MEDICARE: CANDYCE WILLIAMS MD, P L C
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
1208100000XPhysical Medicine & Rehabilitation Physician

General Provider Information

NPI Number : 1841886967
Entity Type Code : Organization
Provider Name (Legal Business Name) : CANDYCE WILLIAMS MD, P L C
Provider Business Mailing Address
First Line : PO BOX 15667
Second Line :
City : PHOENIX
State : AZ
Zip : 85060-5667
Country : US
Telephone Number : 602-806-7610
Fax Number : 602-704-6054
Provider Business Practice Location Address
First Line : 444 W OSBORN RD STE 200
Second Line :
City : PHOENIX
State : AZ
Zip : 85013-3817
Country : US
Telephone Number : 602-806-7610
Fax Number : 602-704-6005
Authorized Official
Title or Position : OWNER
Name : CANDYCE WILLIAMS
Credential : MD
Telephone Number : 602-806-7610
Provider Enumeration Date : 12/13/2020
Last Update Date : 06/10/2021

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