Organization
ROGER WILLIAMS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER T WILLIAMS MD (PRESIDENT)
(928) 532-5838
Entity
Organization
Contact information
Practice address
5448 WHITE MOUNTAIN BLVD, SUITE 270, LAKESIDE, AZ 85929-5739
(928) 532-5838
(928) 532-6670
Mailing address
PO BOX 10, OVERGAARD, AZ 85933-0010
(928) 535-6667
(928) 535-5561
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22260
AZ
Other
Enumeration date
11/09/2007
Last updated
12/12/2008
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