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Christopher Robert Williams, PA

Physician Assistant in Wilkes Barre, PA. Individual provider (NPI-1).

NPI number1164080628
StatusActive
Last updated in NPPESSep 30, 2019

Details

NPI
1164080628
Entity type
Individual (NPI-1)
Name
Mr. Christopher Robert Williams
Credential
PA
Sex
Male
Sole proprietor
No
Enumeration date
May 30, 2019
Last updated
Sep 30, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantMA060927PAYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

1000 E Mountain Blvd
Wilkes Barre, PA 18711-0027

Phone 570-808-7762 · Fax 570-808-6128

Mailing address

100 N Academy Ave
Danville, PA 17822-4903

Phone 570-271-6144 · Fax 570-271-6578

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