Provider Demographics
NPI:1174629919
Name:WILLIAMS, ANDREW JONATHAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:JONATHAN
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4900 S MONACO ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3486
Mailing Address - Country:US
Mailing Address - Phone:303-226-6180
Mailing Address - Fax:720-870-1896
Practice Address - Street 1:14000 E ARAPAHOE RD
Practice Address - Street 2:SUITE 380
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-4043
Practice Address - Country:US
Practice Address - Phone:303-226-6180
Practice Address - Fax:720-870-1896
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2022-01-31
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Provider Licenses
StateLicense IDTaxonomies
CO41352207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO36423874Medicaid
CO36423874Medicaid
H82380Medicare UPIN
COP00790394Medicare PIN