DR. Blake Jerald Williamson, MD

NPI #1710244124 in Shawnee, Kansas

Provider Information

NPI Number
1710244124
Entity Type
Individual
Name
DR. Blake Jerald Williamson, MD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Family Medicine
Credential
MD
Enumeration Date
Apr 23, 2012
Last Updated
Apr 23, 2012

Practice Location

Address
14611 W 50TH ST
State
Kansas
ZIP Code
66216-5116
Phone
(913) 248-1903

Specialties & Taxonomy Codes

Specialty
Family Medicine

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