Individual
BILLY H. SIPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
520 S MUSTANG RD, YUKON, OK 73099-6737
(405) 936-5910
(405) 577-2605
Mailing address
4401 W MEMORIAL RD, SUITE 140, OKLAHOMA CITY, OK 73134-1785
(405) 752-3162
(405) 936-5211
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10535
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080000061
RAILROAD
OK
05
—
100094100A
—
OK
01
—
10535
LICENSE
OK
01
—
20138
OBNDD
OK
Enumeration date
06/27/2006
Last updated
05/21/2014
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