Provider Demographics
NPI:1215917778
Name:HALE, WILLIAM J II (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:J
Last Name:HALE
Suffix:II
Gender:M
Credentials:MD
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Mailing Address - Street 1:2017 W I 35 FRONTAGE RD
Mailing Address - Street 2:SUTIE 250
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-8504
Mailing Address - Country:US
Mailing Address - Phone:405-757-3340
Mailing Address - Fax:405-757-3341
Practice Address - Street 1:2017 W I 35 FRONTAGE RD
Practice Address - Street 2:SUTIE 250
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-8504
Practice Address - Country:US
Practice Address - Phone:405-757-3340
Practice Address - Fax:405-757-3341
Is Sole Proprietor?:No
Enumeration Date:2006-01-20
Last Update Date:2015-04-28
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Provider Licenses
StateLicense IDTaxonomies
OK19051207X00000X, 207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100114180BMedicaid
OK100114180BMedicaid
OK100114180BMedicaid