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Individual

DR. JEFFREY MICHAEL WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1501 N FLORENCE, 101, CLAREMORE, OK 74017
(918) 342-3633
(918) 342-8959
Mailing address
1501 N FLORENCE, STE 101, CLAREMORE, OK 74017-3169
(918) 342-3633
(918) 342-8959

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4698
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200216080A
OK
Enumeration date
10/06/2008
Last updated
05/06/2014
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