Provider Demographics
NPI:1962513127
Name:ASH, BILL R (DPH)
Entity type:Individual
Prefix:MR
First Name:BILL
Middle Name:R
Last Name:ASH
Suffix:
Gender:M
Credentials:DPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:406 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:STROUD
Mailing Address - State:OK
Mailing Address - Zip Code:74079-3614
Mailing Address - Country:US
Mailing Address - Phone:918-968-2323
Mailing Address - Fax:918-968-4231
Practice Address - Street 1:406 W MAIN ST
Practice Address - Street 2:
Practice Address - City:STROUD
Practice Address - State:OK
Practice Address - Zip Code:74079-3614
Practice Address - Country:US
Practice Address - Phone:918-968-2323
Practice Address - Fax:918-968-4231
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK9486183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist