Individual
DR. WILLIAM A HERNDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1616 S KELLY AVE, EDMOND, OK 73013-3651
(405) 330-0032
(405) 715-8808
Mailing address
1616 S KELLY AVE, EDMOND, OK 73013-3651
(405) 330-0032
(405) 715-8808
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
14145
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100020620A
—
OK
01
—
200032512
RAILROAD MEDICARE
OK
Enumeration date
02/01/2006
Last updated
10/24/2007
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