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Individual

DR. WILLIAM D. PUTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
900 N. 1ST STREET, SPRINGFIELD, IL 62702
(217) 528-7541
(217) 525-0121
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036-073644
IL
207VG0400X
Gynecology Physician
Primary
036073644
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036073644
IL
Enumeration date
10/02/2006
Last updated
11/16/2023
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