Healthcare Provider Details

I. General information

NPI: 1639319049
Provider Name (Legal Business Name): RONNIE C WILLIAM M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/25/2009
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 S 6TH AVE
TUCSON AZ
85723-0001
US

IV. Provider business mailing address

378 E SAINT ANDREWS DR
HIGHLAND HEIGHTS OH
44143-3657
US

V. Phone/Fax

Practice location:
  • Phone: 520-792-1450
  • Fax: 520-626-2582
Mailing address:
  • Phone: 708-912-3734
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberH3577
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number42303
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: