# WILLIAM M FEATHERSTON, M.D., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598904484
- **Authorized official:** DR. WILLIAM MATTHEW FEATHERSTON M.D. (PHYSICIAN/OWNER)
- **Authorized official phone:** (580) 225-2203

## Contact information

- **Practice address:** 1925 W 3RD ST, ELK CITY, OK 73644-4303
- **Practice address phone:** (580) 225-2203
- **Practice address fax:** (580) 225-5013
- **Mailing address:** 1925 W 3RD ST, P.O. BOX 1129, ELK CITY, OK 73644-4303
- **Mailing address phone:** (580) 225-2203
- **Mailing address fax:** (580) 225-5013

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 5942 | OK | Yes |

## Other

- **Enumeration date:** 02/17/2009
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100140470A | — | OK |
| 01 | — | 1104915529 | NPI | — |
| 01 | — | 450262840 | MEDICARE | — |
| 01 | — | 5942 | OKLAHOMA MEDICAL LICENSE | OK |
