Individual
MR. ROBERT CULPEPPER WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
212 RANCHO ALONDRA ROAD, CORRALES, NM 87048
(505) 897-8723
(505) 987-8723
Mailing address
PO BOX 416, CORRALES, NM 87048-0416
(505) 897-8723
(505) 987-8723
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2410
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D4519
—
NM
05
—
G6288
—
NM
Enumeration date
02/28/2007
Last updated
07/09/2007
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