Provider Demographics
NPI:1851633481
Name:WILLIAMS, JAMES BRUCE (DVM)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:BRUCE
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 LLOYD LN
Mailing Address - Street 2:
Mailing Address - City:HEBER CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84032-3833
Mailing Address - Country:US
Mailing Address - Phone:435-654-0592
Mailing Address - Fax:435-657-0278
Practice Address - Street 1:90 EAST LLOYD LN
Practice Address - Street 2:
Practice Address - City:HEBER
Practice Address - State:UT
Practice Address - Zip Code:84032-3833
Practice Address - Country:US
Practice Address - Phone:435-654-0592
Practice Address - Fax:435-657-0278
Is Sole Proprietor?:No
Enumeration Date:2013-03-21
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT113991-2801174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian