Individual
DR. DENNIS AVERY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1400 E DOWNING ST, TAHLEQUAH, OK 74464-3324
(918) 456-0641
Mailing address
2514 W 68TH ST, TULSA, OK 74132-1763
(918) 446-5439
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4141
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200089720A
—
OK
Enumeration date
08/01/2006
Last updated
12/09/2019
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