Individual
CHARLES A MCWILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14101 N EASTERN AVE, SUITE C, EDMOND, OK 73013-5859
(405) 340-1279
(405) 340-1605
Mailing address
14101 N EASTERN AVE, SUITE C, EDMOND, OK 73013-5859
(405) 340-1279
(405) 340-1605
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
11817
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100110720A
—
OK
01
—
202130641013
BC/BS
—
Enumeration date
04/27/2006
Last updated
04/18/2016
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