Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | MD011384E | PA |
NPI | 1205081015 |
---|---|
Provider Name | Dr. Scott Lane Williams |
First Address | Washington, DC 20037-1252 |
Second Address | Washington, DC 20037-1252 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2008 |
Last Update Date | 20/11/2008 |