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Individual

ELWOOD FRAY WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5401 N PORTLAND AVE, SUITE 510, OKLAHOMA CITY, OK 73112-1670
(405) 604-4210
(405) 604-4241
Mailing address
5401 N PORTLAND AVE, SUITE 510, OKLAHOMA CITY, OK 73112-2121
(405) 604-4210
(405) 604-4241

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
17492
OK
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
17492
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100112650A
OK
01
290004188
RAILROAD MC
OK
Enumeration date
09/24/2006
Last updated
08/25/2015
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