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Contact Information

STEPHEN M WILLIAMS, PAC
425 IDAHO STREET
GOODING, ID83330
 Phone: 208-934-5900
 Fax: 208-934-5719
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for STEPHEN M WILLIAMS · (Male)

NPI Number 1699856344
Status Active
Credentials PAC
Entity Individual
Enumeration date 10/18/2006
Last updated 08/24/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • ID License # PA628
Hospital affiliation(s)
  • NORTH CANYON MEDICAL CENTER - (Critical Access)
    267 NORTH CANYON DR
    GOODING, ID 83330
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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