Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | OS013029 | PA |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | OS013029 | PA |
NPI | 1043248305 |
---|---|
Provider Name | David L Williams |
First Address | Harrisburg, PA 17104-1612 |
Second Address | Carlisle, PA 17015-7027 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 14/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
101019289 | (05) | PA |
H27367 | (02) |