Individual
DR. ROGER D. WILLIAMS
Active
Individual
DR. ROGER D. WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
3042
WI
103G00000X
Clinical Neuropsychologist
983P
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133649719
—
AR
01
—
50874000010
QUALCHOICE
AR
01
—
5T814
BLUE CROSS
AR
01
—
983P
CHAMPUS
AR
01
—
990007081
RAILROAD MEDICARE
AR
Enumeration date
09/20/2006
Last updated
09/16/2013
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