Organization
BRUCE P WILLIAMS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE PARMER WILLIAMS MD (PRESIDENT)
(812) 853-5671
Entity
Organization
Contact information
Practice address
4133 GATEWAY BLVD, SUITE 210, NEWBURGH, IN 47630-7918
(812) 853-5671
(812) 853-5697
Mailing address
4133 GATEWAY BLVD, SUITE 210, NEWBURGH, IN 47630-7918
(812) 853-5671
(812) 853-5697
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01025479B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000214978
ANTHEM
—
Enumeration date
04/03/2006
Last updated
08/22/2020
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