Provider Demographics
NPI:1942305057
Name:WILLIAMS, DAVID M (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:M
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:PO BOX 772929
Mailing Address - Street 2:
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80477-2929
Mailing Address - Country:US
Mailing Address - Phone:970-879-3730
Mailing Address - Fax:
Practice Address - Street 1:36 DEERFOOT AVE.
Practice Address - Street 2:
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487
Practice Address - Country:US
Practice Address - Phone:970-879-3730
Practice Address - Fax:970-879-3730
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2018-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO19197207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01191972Medicaid
CO080078864OtherRAILROAD MEDICARE
CO01191972Medicaid
COC69414Medicare PIN
CO080078864OtherRAILROAD MEDICARE