Doctor Name: | RICHARD A WILLIAMS |
NPI Number: | 1467457390 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A40188 |
Business Practice Address: | 1334 W Covina Blvd Ste 102 San Dimas, CA - 917733211 |
Business Phone Number: | 9095998677 |
Business Fax Number: | 9095920999 |
Mailing Address: | 1334 W Covina Blvd, Ste 102 SAN DIMAS |
State: | CA |
Postal Code: | 917733211 |
Phone Number: | 9095998677 |
Fax Number: | 9095920999 |
NPI Enumeration Date: | 06/16/2005 |
NPI Last Update Date: | 11/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | A40188 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |