| Roger Williams MD PC | |
|
5448 White Mountain Blvd Suite 270 Lakeside AZ 85929-5739 | |
| (928) 532-5838 | |
| (928) 532-6670 |
| Full Name | Roger Williams MD PC |
|---|---|
| Speciality | Family Medicine |
| Location | 5448 White Mountain Blvd, Lakeside, Arizona |
| Authorized Official Name and Position | Roger T Williams (PRESIDENT) |
| Authorized Official Contact | 9285325838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roger Williams MD PC Po Box 10 Overgaard AZ 85933-0010 Ph: (928) 535-6667 | Roger Williams MD PC 5448 White Mountain Blvd Suite 270 Lakeside AZ 85929-5739 Ph: (928) 532-5838 |
| NPI Number | 1972783736 |
|---|---|
| Provider Enumeration Date | 11/09/2007 |
| Last Update Date | 12/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972783736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 22260 (Arizona) | Primary |
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