Provider Demographics
NPI:1154372662
Name:WILLIAMS, DAVID ALBERT (DO)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ALBERT
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:600 WESLEY WAY
Mailing Address - Street 2:
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-9413
Mailing Address - Country:US
Mailing Address - Phone:814-724-8024
Mailing Address - Fax:814-337-8635
Practice Address - Street 1:1015 GROVE ST
Practice Address - Street 2:
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-2905
Practice Address - Country:US
Practice Address - Phone:814-724-8024
Practice Address - Fax:814-337-8635
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS013026207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1016388770001Medicaid