Provider Demographics
NPI:1639319049
Name:WILLIAM, RONNIE C (MD)
Entity Type:Individual
Prefix:DR
First Name:RONNIE
Middle Name:C
Last Name:WILLIAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7912 N JEWELFLOWER DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85741-4644
Mailing Address - Country:US
Mailing Address - Phone:708-912-3734
Mailing Address - Fax:
Practice Address - Street 1:3950 SOUTH COUNTRY CLUB ROAD,
Practice Address - Street 2:STE 200
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85714
Practice Address - Country:US
Practice Address - Phone:520-626-6376
Practice Address - Fax:520-626-2582
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-25
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZH3577207R00000X
AZ42303207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine