Organization
PANHANDLE RADIOLOGY PLLC
Active
Organization
PANHANDLE RADIOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT A WILLIAMS MD (PHYSICIAN OWNER)
(580) 338-6515
Entity
Organization
Contact information
Practice address
350 NE 12TH ST, GUYMON, OK 73942-3624
(580) 338-6515
(580) 225-5423
Mailing address
PO BOX 1030, GUYMON, OK 73942-1030
(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
—
200118900A
—
OK
01
—
DG3161
RAILROAD MEDICARE
OK
Enumeration date
08/09/2007
Last updated
08/23/2023
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