Provider Demographics
NPI:1386610418
Name:WILLIAMS, CURTIS SCOTT (MD)
Entity type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:SCOTT
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 SE DEBELL AVE
Mailing Address - Street 2:
Mailing Address - City:BARTLESVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74006-2314
Mailing Address - Country:US
Mailing Address - Phone:918-333-7811
Mailing Address - Fax:918-333-4825
Practice Address - Street 1:224 SE DEBELL AVE
Practice Address - Street 2:
Practice Address - City:BARTLESVILLE
Practice Address - State:OK
Practice Address - Zip Code:74006-2314
Practice Address - Country:US
Practice Address - Phone:918-333-7811
Practice Address - Fax:918-333-4825
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-28
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK8877207KI0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KI0005XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyClinical & Laboratory Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100116830AMedicaid
OKE16021Medicare UPIN
OKOK700252Medicare PIN