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Individual

DR. RICHARD MALCOLM WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10455 EMMA LN NW, RAPID CITY, MI 49676-8608
(360) 656-6396
(231) 346-6255
Mailing address
10455 EMMA LN NW, RAPID CITY, MI 49676-8608
(360) 656-6396
(231) 346-6255

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101242773
VA
2085R0202X
Diagnostic Radiology Physician
01069024A
IN
2085R0202X
Diagnostic Radiology Physician
036051496
IL
2085R0202X
Diagnostic Radiology Physician
2406
MI
2085R0202X
Diagnostic Radiology Physician
Primary
26165
AZ
2085R0202X
Diagnostic Radiology Physician
D0082180
MD
2085R0202X
Diagnostic Radiology Physician
MD441846
PA
2085R0202X
Diagnostic Radiology Physician
MD60668713
WA
2085R0202X
Diagnostic Radiology Physician
TM00496
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1Z7105
HEALTHNET
AZ
01
501842
AHCCCS
AZ
01
AZ0831550
BCBS
AZ
Enumeration date
05/05/2006
Last updated
01/02/2019
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