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NPI Code Detail

MEDICARE: DR. JAMISON WILLIAMS DO

MEDICARE: DR. JAMISON WILLIAMS DO
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
1133V00000XRegistered Dietitian2037OK
2390200000XStudent in an Organized Health Care Education/Training ProgramOK
32085R0202XDiagnostic Radiology Physician7752OK

General Provider Information

NPI Number : 1851796973
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMISON WILLIAMS DO
Provider Business Mailing Address
First Line : 2515 W CAMBRIDGE CT
Second Line :
City : STILLWATER
State : OK
Zip : 74074-2283
Country : US
Telephone Number : 918-639-1991
Fax Number :
Provider Business Practice Location Address
First Line : 744 W 9TH ST
Second Line :
City : TULSA
State : OK
Zip : 74127-9907
Country : US
Telephone Number : 918-599-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2014
Last Update Date : 09/04/2022

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