| Robert C Williams, DO | |
|
702 W Broadway St, Spiro, OK 74959-2430 | |
| (918) 962-2442 | |
| (918) 962-3895 |
| Full Name | Robert C Williams |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 702 W Broadway St, Spiro, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336137728 | NPI | - | NPPES |
| 108273003 | Medicaid | AR | |
| 100134340B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | N5898 (Arkansas) | Secondary |
| 207Q00000X | Family Medicine | 2011 (Oklahoma) | Primary |
| Entity Name | Choctaw Nation Of Oklahoma |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659347623 PECOS PAC ID: 1759294838 Enrollment ID: O20031106000326 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert C Williams, DO Po Box 402319, Atlanta, GA 30384-2319 Ph: (479) 709-7399 | Robert C Williams, DO 702 W Broadway St, Spiro, OK 74959-2430 Ph: (918) 962-2442 |
Dr. Linda M Rodriguez, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 702 W Broadway St, Spiro, OK 74959 Phone: 918-962-2442 Fax: 918-962-3895 | |
Dr. Arveitta Yvonne Edge, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 702 W Broadway St, Spiro, OK 74959 Phone: 918-962-2442 Fax: 918-962-3895 |