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Contact Information

MARK S WILLIAMS, DO
215 E HAWAII AVE
NAMPA, ID83686-6011
 Phone: 208-463-3291
 Fax: 208-463-3049
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Neuromusculoskeletal Medicine, Sports Medicine

204C00000X 12 Physician/Osteopathic Manipulative Medicine
Indicates primary specialty

NPI Profile & details for MARK S WILLIAMS · (Male)

NPI # 1114961166
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/16/2006
Last updated 09/30/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # 0-157
  • ID License # O-157
Hospital affiliation(s)
  • SAINT ALPHONSUS MEDICAL CENTER - NAMPA - (Acute Care)
    1512 TWELFTH AVENUE ROAD
    NAMPA, ID 83686
  • TREASURE VALLEY HOSPITAL - (Acute Care)
    8800 WEST EMERALD STREET
    BOISE, ID 83704
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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