Williams, Robert D

Williams, Robert D is an individual health care provider with primary practice located at 11724 S State St , Draper UT 84020-7163. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Williams, Robert D can be contacted via phone (801) 965-3600.

Contact Information

Primary practice address
11724 S State St Draper UT 84020-7163
Phone: (801) 965-3600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1855221205 Utah

Profile Details

NPI number 1063596401
LBN Legal business name Williams, Robert D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Apr 17th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063596401 NPPES
Utah MEDICAID 11348

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