Provider Demographics
NPI:1528061744
Name:BARNES, WILLIAM FRANKLIN (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:FRANKLIN
Last Name:BARNES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7101 OAK LEAF RD
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-8452
Mailing Address - Country:US
Mailing Address - Phone:405-644-5175
Mailing Address - Fax:405-644-5176
Practice Address - Street 1:4200 S DOUGLAS AVE
Practice Address - Street 2:STE 200
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73109-3223
Practice Address - Country:US
Practice Address - Phone:405-644-5175
Practice Address - Fax:405-644-5176
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-23
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK10327174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100146730AMedicaid
OKD34371Medicare UPIN