Provider Demographics
NPI:1073537536
Name:WILLIAMS, DON T (MD)
Entity Type:Individual
Prefix:
First Name:DON
Middle Name:T
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17762 MORO RD
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93907-8965
Mailing Address - Country:US
Mailing Address - Phone:831-663-6577
Mailing Address - Fax:831-663-6579
Practice Address - Street 1:17762 MORO RD
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93907-8965
Practice Address - Country:US
Practice Address - Phone:831-663-6577
Practice Address - Fax:831-663-6579
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG57667207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G576670Medicaid
CA00G576670Medicaid
CA00G576670Medicare ID - Type Unspecified