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Organization

ROBERT L WILLIAMS, D.O.,P.C.

Active
Other names
ROBERT L WILLIAMS, D.O.
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT LEROY WILLIAMS D.O. (PHYSICAN)
(816) 356-1004
Entity
Organization

Contact information

Practice address
4419 S CRYSLER AVE, INDEPENDENCE, MO 64055-5948
(816) 356-1004
(816) 743-0775
Mailing address
4419 S CRYSLER AVE, INDEPENDENCE, MO 64055-5948
(816) 356-1004
(816) 743-0775

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
R9506
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0108272
UNITED HEALTH CARE
MO
01
01987019
BLUE SHIELD
MO
01
08085013
BLUE CARE
MO
Enumeration date
10/22/2007
Last updated
10/22/2007
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