Provider Demographics
NPI:1215925110
Name:WILLIAMS, NOEL R (MD)
Entity type:Individual
Prefix:
First Name:NOEL
Middle Name:R
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9800 BROADWAY EXTENSION
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73114
Mailing Address - Country:US
Mailing Address - Phone:405-715-4496
Mailing Address - Fax:405-715-4499
Practice Address - Street 1:9800 BROADWAY EXTENSION
Practice Address - Street 2:SUITE 200
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73114
Practice Address - Country:US
Practice Address - Phone:405-715-4496
Practice Address - Fax:405-715-4499
Is Sole Proprietor?:No
Enumeration Date:2005-10-13
Last Update Date:2016-02-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK17885207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKP00357994Medicare ID - Type UnspecifiedRAILROAD MEDICARE
OK100051500BMedicaid
OKF81092Medicare UPIN
OK244630803Medicare PIN