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Organization

W ROBERT HOWARD MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM ROBERT HOWARD II M.D. (OWNERPHYSICIAN)
(580) 762-8324
Entity
Organization

Contact information

Practice address
400 FAIRVIEW AVE, SUITE 16, PONCA CITY, OK 74601-1920
(580) 762-8324
(580) 762-2581
Mailing address
400 FAIRVIEW AVE, SUITE 16, PONCA CITY, OK 74601-1920
(580) 762-8324
(580) 762-2581

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
10717
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
511446224-001
BCBS
OK
01
582628
BCBS-KS
KS
Enumeration date
11/11/2005
Last updated
11/05/2007
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