MEDICARE: CURTIS BRIAN 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
1	207R00000X	Internal Medicine Physician	21278	OK

General Provider Information

NPI Number	:	1487658449
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CURTIS BRIAN WILLIAMS MD

Provider Business Mailing Address
First Line	:	3433 NW 56TH ST
Second Line	:	STE 400
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-4430
Country	:	US
Telephone Number	:	405-946-9831
Fax Number	:

Provider Business Practice Location Address
First Line	:	3433 NW 56TH ST
Second Line	:	STE 800
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-4452
Country	:	US
Telephone Number	:	405-946-9831
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2005
Last Update Date	:	07/08/2007

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