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Individual

ROBERT A WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
350 NE 12TH ST, GUYMON, OK 73942-3624
(580) 461-1606
(580) 225-5423
Mailing address
PO BOX 1031, GUYMON, OK 73942-1031
(580) 338-6515
(580) 225-5423

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
23914
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200039390A
OK
01
P00165591
RAILRAOD MEDICARE
OK
Enumeration date
06/07/2006
Last updated
12/23/2013
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