Roger Williams MD PC

NPI #1972783736 in Lakeside, Arizona

Provider Information

NPI Number: 1972783736
Entity Type: Organization
Organization Name: Roger Williams MD PC
Primary Specialty: Family Medicine
Enumeration Date: Nov 9, 2007
Last Updated: Dec 12, 2008

Practice Location

Address: 5448 WHITE MOUNTAIN BLVD
Address 2: SUITE 270
City: Lakeside
State: Arizona
ZIP Code: 85929-5739
Phone: (928) 532-5838

Authorized Official

Name: ROGER T WILLIAMS, MD
Title: PRESIDENT
Phone: (928) 532-5838

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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