Individual provider · Type 1 NPI

Dominique Alexis Williams

Student in an Organized Health Care Education/Training Program · Denver, CO

NPI number 1104628312 Active

Practice location

777 Bannock St # MC0108
Denver, CO 80204-4507

Call (303) 602-5193 Map

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000XTRAINING (CO)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104628312

Dominique Alexis Williams's National Provider Identifier is 1104628312, issued on Mar 26, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Denver, CO. The record was last updated on Oct 20, 2026.