Organization
DR BRAD WILLIAMS PC
Active
Other names
Agility Orthopedics
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD D WILLIAMS MD (OWNER)
(928) 634-1112
Entity
Organization
Contact information
Practice address
299 S WILLARD STREET, COTTONWOOD, AZ 86326-6744
(928) 634-0323
(928) 634-1144
Mailing address
PO BOX 310, COTTONWOOD, AZ 86326-6744
(928) 634-0323
(928) 634-1144
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35254
AZ
207X00000X
Orthopaedic Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
35254
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099069
—
AZ
Enumeration date
06/28/2006
Last updated
12/07/2009
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