IndividualActive
Mark Williams, D.O.
NPI 1114961166 · Sports Medicine (Family Medicine) Physician · Nampa, ID
Provider details
- NPI number
- 1114961166
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- O-157 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Suppliers
Practice location
215 E Hawaii Ave
Nampa, ID 83686-6011
Phone: (208) 463-3291
Fax: (208) 463-3049
Approximate (ZIP-level) locationGet directions
Mailing address
215 E Hawaii Ave
Nampa, ID 83686-6011
Registry dates
- Enumerated
- 2006-06-16
- Last updated
- 2014-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.