Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | MD00025049 | WA |
NPI | 1013931914 |
---|---|
Provider Name | Robert M Williams |
First Address | Yakima, WA 98907-2947 |
Second Address | Yakima, WA 98902-4880 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 03/12/2007 |