Provider Demographics
NPI:1700874831
Name:WILLIAMS, JEFFERY A (MD)
Entity type:Individual
Prefix:MR
First Name:JEFFERY
Middle Name:A
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:HOLY ROSERY HEALTH CARE
Mailing Address - Street 2:MEDICAL ARTS CLINIC 2600 WILSON
Mailing Address - City:MILES CITY
Mailing Address - State:MT
Mailing Address - Zip Code:59301
Mailing Address - Country:US
Mailing Address - Phone:406-233-2602
Mailing Address - Fax:406-233-2602
Practice Address - Street 1:HOLY ROSERY HEALTH CARE
Practice Address - Street 2:MEDICAL ARTS CLINIC 2600 WILSON
Practice Address - City:MILES CITY
Practice Address - State:MT
Practice Address - Zip Code:59301
Practice Address - Country:US
Practice Address - Phone:406-233-2602
Practice Address - Fax:406-233-2602
Is Sole Proprietor?:No
Enumeration Date:2005-10-12
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MT12302207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology