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Organization
RICHARD B WILLIAMS PHD MD INC
Active
Organization
RICHARD B WILLIAMS PHD MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD B WILLIAMS M.D. (PRESIDENT)
(626) 799-3616
Entity
Organization
Contact information
Practice address
630 MISSION ST, SUITE 1, SOUTH PASADENA, CA 91030-3038
(626) 799-3616
(626) 799-4001
Mailing address
PO BOX 800817, SANTA CLARITA, CA 91380-0817
(661) 295-0859
(661) 295-0862
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G58242
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PRESIDENT LICENSE#
G58242
CA
Enumeration date
10/02/2008
Last updated
10/02/2008
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