Individual
ROGER T WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 S WHITE MOUNTAIN RD BLDG 3, SHOW LOW, AZ 85901-7111
(284) 325-8389
Mailing address
PO BOX 10, OVERGAARD, AZ 85933-0010
(928) 532-5838
(801) 423-3309
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
22260
AZ
208D00000X
General Practice Physician
Primary
22260
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173758
—
AZ
Enumeration date
12/28/2005
Last updated
06/19/2024
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