Individual
DR. WILLIAM T AMOS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4735 WALTHER CIR, KETTERING, OH 45429-1973
(937) 307-4239
Mailing address
4735 WALTHER CIR, KETTERING, OH 45429-1973
(937) 307-4239
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01065498A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
35031078
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000341375
ANTHEM PROVIDER
OH
01
—
000000752088
ANTHEM (REID)
—
05
—
05602145
—
OH
05
—
201050440
—
IN
Enumeration date
08/31/2006
Last updated
05/03/2017
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