NPI 1679796080

Robert J Williams, LAC

Practitioner Acupuncturist Ketchum, ID

Practice location

Address: 660 2nd Ave S Suite 2a, Ketchum, ID 83340-6663
Phone: (503) 956-1747
Mailing address: PO Box 393, Ketchum, ID 83340-0361

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence AC01066

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Registry record

NPI: 1679796080
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Apr 2007
Record last updated: 20 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.