Individual
REBECCA R WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4505 MEMORIAL CIR, OKLAHOMA CITY, OK 73142-5004
(405) 749-7099
(405) 216-5872
Mailing address
530 N MONTE VISTA ST, SUITE A, ADA, OK 74820-4675
(580) 436-7101
(580) 436-4447
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1290
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1290
PHYSICIAN ASSISTANTS
OK
Enumeration date
08/02/2006
Last updated
11/20/2014
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