Individual
MATILDA KATHERINE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA - C
Contact information
Practice address
619 NW 23RD ST, OKLAHOMA CITY, OK 73103-1415
(405) 528-0221
Mailing address
1021 HARDING ST, SEMINOLE, OK 74868-2915
(405) 382-5723
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA629
OK
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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