Provider Demographics
NPI:1134541303
Name:WILLIAMS, ROBERT OWEN II (DC)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:OWEN
Last Name:WILLIAMS
Suffix:II
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 9TH ST
Mailing Address - Street 2:
Mailing Address - City:MONACA
Mailing Address - State:PA
Mailing Address - Zip Code:15061-2044
Mailing Address - Country:US
Mailing Address - Phone:724-774-8068
Mailing Address - Fax:724-774-8166
Practice Address - Street 1:200 9TH ST
Practice Address - Street 2:
Practice Address - City:MONACA
Practice Address - State:PA
Practice Address - Zip Code:15061-2044
Practice Address - Country:US
Practice Address - Phone:724-774-8068
Practice Address - Fax:724-774-8166
Is Sole Proprietor?:No
Enumeration Date:2014-01-07
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010796111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor