person
Dr. Jerry K Williams JR., MD
Neurology with Special Qualifications in Child Neurology Physician in Las Vegas, New Mexico
NPI 1710086749

Jerry K Williams JR. is a Neurology with Special Qualifications in Child Neurology Physician based in Las Vegas, NM and is specialized in Neurology with Special Qualifications in Child Neurology. Jerry K Williams JR. practices in Las Vegas, NM and has the professional credentials of MD. The NPI Number for Jerry K Williams JR. is 1710086749 and holds a License No. 94-167 (New Mexico).

The current practice location address for Jerry K Williams JR. is 2301 7Th St, Las Vegas, NM and can be reached out via phone at 505-426-1200 and via fax at 505-426-1202.

Location: 2301 7Th St, Las Vegas, NM, 87701-6861
person
Provider Profile Details
NPI Number
1710086749
Provider Name
Jerry K Williams JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2301 7Th St, Las Vegas, NM, 87701-6861
Phone Number
505-426-1200
Fax Number
505-426-1202
Provider Enumeration Date
09/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201311184 01 NM TAX ID
23432 05 NM
201047864 01 NM PHP & SALUD
00NM009T07 01 NM BCBS
C100521093 01 NM UNITED AMERICAN
NM9999 01 NM MUTUAL OF OMAHA
institution
Provider Business Practice Location Address Details
Address
2301 7Th St
City
State
Zip
87701-4966
Phone Number
505-426-1200
Fax Number
505-426-1202
person
Provider Business Mailing Address Details
Address
2301 7Th St
City
State
Zip
87701-4966
Phone Number
505-426-1200
Fax Number
505-426-1202
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology with Special Qualifications in Child Neurology
Taxonomy
License No.
94-167 (New Mexico)
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
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