Organization
W. EMERY REYNOLDS, M.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM EMERY REYNOLDS M.D. (PARTNERSHIP)
(405) 755-3540
Entity
Organization
Contact information
Practice address
4120 W MEMORIAL RD STE 208, OKLAHOMA CITY, OK 73120-9322
(405) 755-3540
(405) 755-7001
Mailing address
PO BOX 268947, OKLAHOMA CITY, OK 73126-8947
(405) 321-5683
(405) 329-0486
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13840
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100123830A
—
OK
Enumeration date
08/09/2006
Last updated
08/22/2013
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