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General NPI Number Information
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NPI Number | 1316048838
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Entity Type | Organization
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Legal Business Name | PHILLIP A WILLIAMS MD, PC
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1100 N SAN FRANCISCO ST SUITE B
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City | FLAGSTAFF
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State | AZ
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Zip | 86001-3260
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Country | US
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Telephone | 928-779-7853
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Fax | 928-774-0508
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Provider Business Mailing Address
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Address Line | 1100 N SAN FRANCISCO ST SUITE B
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City | FLAGSTAFF
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State | AZ
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Zip | 86001-3260
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Country | US
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Telephone | 928-779-7853
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Fax | 928-774-0508
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. PHILLIP A WILLIAMS
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Credential | MD
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Telephone | 928-779-7853
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 25398
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License Number State | AZ
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