Organization
WILLIAMS CLINIC OF STILLWATER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIDNEY DALTON WILLIAMS JR. M.D. (PRESIDENT)
(450) 377-1121
Entity
Organization
Contact information
Practice address
801 S WASHINGTON ST, STILLWATER, OK 74074-4541
(405) 377-1121
(405) 624-9201
Mailing address
801 S WASHINGTON ST, STILLWATER, OK 74074-4541
(405) 377-1121
(405) 624-9201
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OK9680
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200343660A
—
OK
Enumeration date
09/25/2007
Last updated
09/12/2011
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