Individual
RANDAL A WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
220 W VINITA AVE, SULPHUR, OK 73086-3805
(580) 622-5451
(580) 622-5480
Mailing address
220 W VINITA AVE, SULPHUR, OK 73086-3805
(580) 622-5451
(580) 622-5480
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20799
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080158623
RAILROAD MEDICARE
OK
05
—
100137300B
—
OK
01
—
175735100
US DEPT OF LABOR
OK
Enumeration date
06/07/2006
Last updated
07/06/2009
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