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Individual

WILLIAM C GOAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2408 E 81ST ST, SUITE 110, TULSA, OK 74137-4200
(918) 388-2300
(918) 388-2301
Mailing address
3550 E FRANK PHILLIPS BLVD, BARTLESVILLE, OK 74006
(918) 331-1857

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
15289
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100129570B
OK
01
920006521
RAILROAD MEDICARE
Enumeration date
06/16/2006
Last updated
10/06/2015
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