Healthcare Provider Details

I. General information

NPI: 1255425377
Provider Name (Legal Business Name): WILLIAM M. MCAFEE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 01/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 S DOUGLAS BLVD SUITE 200
OKLAHOMA CITY OK
73150-1014
US

IV. Provider business mailing address

3400 S DOUGLAS BLVD SUITE 200
OKLAHOMA CITY OK
73150-1014
US

V. Phone/Fax

Practice location:
  • Phone: 405-737-7000
  • Fax: 405-272-2898
Mailing address:
  • Phone: 405-737-7000
  • Fax: 405-272-2898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number14330
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: