Individual
MR. JEFFREY SCOTT WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
2121 E 11TH ST, ADA, OK 74820-7008
(580) 310-6093
Mailing address
2121 E 11TH ST, ADA, OK 74820-7008
(580) 310-6093
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
179
OK
Other
Enumeration date
08/12/2006
Last updated
07/08/2007
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