Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0003X | Hematology & Oncology | MD429777 | PA |
Y | 207RX0202X | Medical Oncology | MD429777 | PA |
NPI | 1063428076 |
---|---|
Provider Name | Dr. Roy Allen Williams JR. |
First Address | Danville, PA 17822-4903 |
Second Address | Lewistown, PA 17044-1167 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2006 |
Last Update Date | 13/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G52340 | (02) |