Organization Name: | ROBERT L WILLIAMS, D.O.,P.C. |
NPI Number: | 1427247808 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT LEROY WILLIAMS (PHYSICAN) |
Mailing Address: | 4419 S Crysler Ave Independence |
State: | MO US |
Postal Code: | 640555948 |
Phone Number: | 8163561004 |
Fax Number: | 8167430775 |
NPI Enumeration Date: | 10/22/2007 |
NPI Last Update Date: | 10/22/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | R9506 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |