Organization
WILLIAM E TANKERSLEY MD PLLC
Active
Organization
WILLIAM E TANKERSLEY MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM E TANKERSLEY IV MD (PHYSICIAN/OWNER)
(405) 799-0900
Entity
Organization
Contact information
Practice address
604 S CLASSEN AVE, SUITE C, MOORE, OK 73160-5401
(405) 799-0900
(405) 799-0902
Mailing address
PO BOX 7411, MOORE, OK 73153-1411
(405) 799-0900
(405) 799-0902
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
24016
OK
Other
Enumeration date
04/18/2008
Last updated
04/18/2008
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