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Individual

DR. WILLIAM BLAINE PRICE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
5657 E 41ST ST, TULSA, OK 74135
(918) 622-2500
(918) 622-2502
Mailing address
5657 E 41ST ST, TULSA, OK 74135-6010
(918) 622-2500
(918) 622-2502

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4111
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200031970B
OK
Enumeration date
11/10/2005
Last updated
05/14/2018
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