Individual
RONALD GEORGE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3504 12TH AVE NE, OLYMPIA, WA 98506-5218
(360) 252-3801
Mailing address
3504 12TH AVE NE, OLYMPIA, WA 98506-5218
(360) 252-3801
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
MD00030788
WA
208000000X
Pediatrics Physician
Primary
MD00030788
WA
2080A0000X
Pediatric Adolescent Medicine Physician
36151
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518913318
MEDICARE GROUP NPI
WA
01
—
8858118
MEDICARE GROUP
WA
Enumeration date
05/11/2007
Last updated
02/05/2014
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