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NPI Code Detail

MEDICARE: ELWOOD FRAY WILLIAMS MD

MEDICARE:   ELWOOD FRAY WILLIAMS  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RP1001XPulmonary Disease Physician17492OK
2207RS0012XSleep Medicine (Internal Medicine) Physician17492OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2290004188OTHEROKRAILROAD MC

General Provider Information

NPI Number : 1366542896
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELWOOD FRAY WILLIAMS MD
Provider Business Mailing Address
First Line : 5401 N PORTLAND AVE
Second Line : SUITE 510
City : OKLAHOMA CITY
State : OK
Zip : 73112-2121
Country : US
Telephone Number : 405-604-4210
Fax Number : 405-604-4241
Provider Business Practice Location Address
First Line : 5401 N PORTLAND AVE
Second Line : SUITE 510
City : OKLAHOMA CITY
State : OK
Zip : 73112-1670
Country : US
Telephone Number : 405-604-4210
Fax Number : 405-604-4241
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2006
Last Update Date : 08/25/2015

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Directions to “ ELWOOD FRAY WILLIAMS MD” Practice Location

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