Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | DR-32015 | CO |
NPI | 1013245190 |
---|---|
Provider Name | Dr. Danny Claude Williams |
First Address | Denver, CO 80206-2815 |
Second Address | Lakewood, CO 80228-1822 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2009 |
Last Update Date | 30/11/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A98004 | (02) |