Healthcare Provider Details

I. General information

NPI: 1194779231
Provider Name (Legal Business Name): EMILY P MARCY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: EMILY P WILLIAMS MD

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 10/22/2020
Certification Date: 10/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

608 NW 9TH ST SUITE 3000
OKLAHOMA CITY OK
73102-1068
US

IV. Provider business mailing address

PO BOX 248888
OKLAHOMA CITY OK
73124-8888
US

V. Phone/Fax

Practice location:
  • Phone: 405-272-7337
  • Fax: 405-231-3059
Mailing address:
  • Phone: 405-231-3857
  • Fax: 405-272-7977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number23428
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: