Individual
MR. WILLIAM J REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
9757 E 31ST ST, TULSA, OK 74146-1222
(918) 622-3213
(918) 622-4508
Mailing address
8725 E 47TH PL, TULSA, OK 74145-7109
(918) 622-0912
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7122
OK
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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