Individual
ROBERT C WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
702 W BROADWAY ST, SPIRO, OK 74959-2430
(918) 962-2442
(918) 962-3895
Mailing address
PO BOX 402319, ATLANTA, GA 30384-2319
(479) 709-7399
(479) 709-7053
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2011
OK
207Q00000X
Family Medicine Physician
N5898
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100134340B
—
OK
05
—
108273003
—
AR
Enumeration date
10/10/2005
Last updated
08/17/2015
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