Organization
DENNIS T WILLIAMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS TODD WILLIAMS M.D. (PRESIDENT)
(580) 916-8683
Entity
Organization
Contact information
Practice address
1800 W UNIVERSITY BLVD, DURANT, OK 74701-3006
(580) 924-3080
Mailing address
PO BOX 1308, DURANT, OK 74702-1308
(580) 916-8683
(903) 786-3191
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
24237
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200057400A
—
OK
Enumeration date
12/07/2006
Last updated
05/07/2008
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