Organization
WILLIAM M FEATHERSTON, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM MATTHEW FEATHERSTON M.D. (PHYSICIAN/OWNER)
(580) 225-2203
Entity
Organization
Contact information
Practice address
1925 W 3RD ST, ELK CITY, OK 73644-4303
(580) 225-2203
(580) 225-5013
Mailing address
1925 W 3RD ST, P.O. BOX 1129, ELK CITY, OK 73644-4303
(580) 225-2203
(580) 225-5013
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5942
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100140470A
—
OK
01
—
1104915529
NPI
—
01
—
450262840
MEDICARE
—
01
—
5942
OKLAHOMA MEDICAL LICENSE
OK
Enumeration date
02/17/2009
Last updated
03/07/2023
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