Healthcare Provider Details

I. General information

NPI: 1730204975
Provider Name (Legal Business Name): WILLIAM C PARSONS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 S KEELER B-FPTC MEDICAL
BARTLESVILLE OK
74004-0001
US

IV. Provider business mailing address

310 S KEELER B-FPTC MEDICAL
BARTLESVILLE OK
74004-0001
US

V. Phone/Fax

Practice location:
  • Phone: 918-661-4961
  • Fax: 918-661-0273
Mailing address:
  • Phone: 918-661-4961
  • Fax: 918-661-0273

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number15226
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: