Individual
DR. WILLIAM J HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1610 W UNIVERSITY BLVD, DURANT, OK 74701-3045
(580) 924-3400
(580) 924-7732
Mailing address
PO BOX 1610, DURANT, OK 74702-1610
(580) 924-3400
(580) 924-7732
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2926
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100194770A
—
OK
Enumeration date
08/12/2005
Last updated
09/03/2020
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