IndividualActive
Jerry Williams, M.D.
NPI 1710086749 · Neurology with Special Qualifications in Child Neurology Physician · Las Vegas, NM
Provider details
- NPI number
- 1710086749
- Entity type
- Individual
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 94-167 (NM)
Specialties & taxonomies
- Neurology with Special Qualifications in Child Neurology PhysicianPrimary2084N0402XLicense 94-167 (NM)
Allopathic & Osteopathic Physicians
Practice location
2301 7th St
Suite B
Las Vegas, NM 87701-4966
Phone: (505) 426-1200
Fax: (505) 426-1202
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3861
Las Vegas, NM 87701-6861
Registry dates
- Enumerated
- 2006-09-22
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.