Provider Demographics
NPI:1437416500
Name:BRICE J. WILLIAMS, M.D., P.C.
Entity Type:Organization
Organization Name:BRICE J. WILLIAMS, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:PASKETT
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:801-387-3556
Mailing Address - Street 1:4403 HARRISON BLVD.
Mailing Address - Street 2:STE-3600
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84403-3285
Mailing Address - Country:US
Mailing Address - Phone:801-387-3550
Mailing Address - Fax:801-387-3555
Practice Address - Street 1:4403 HARRISON BLVD.
Practice Address - Street 2:STE-3600
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84403-3285
Practice Address - Country:US
Practice Address - Phone:801-387-3550
Practice Address - Fax:801-387-3555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-13
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7471494-1205207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty