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Contact Information

RANDALL WILLIAMS, MD
4021 AVENUE B
SCOTTSBLUFF, NE69361-4602
 Phone: 308-630-1919
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for RANDALL WILLIAMS · (Male)

NPI # 1538170238
Status Active
Credentials MD
Entity Individual
Enumeration date 08/10/2006
Last updated 11/16/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 39753
  • NE Other 30773 BLUE CROSS
  • NE Other P00386100 RAILROAD MEDICARE
Hospital affiliation(s)
  • REGIONAL WEST MEDICAL CENTER - (Acute Care)
    4021 AVE B
    SCOTTSBLUFF, NE 69361
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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