Provider Demographics
NPI:1073694907
Name:JONES IV, WILLIAM DUNLOP (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:DUNLOP
Last Name:JONES IV
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 1:707 NW 13TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73103-2206
Mailing Address - Country:US
Mailing Address - Phone:405-521-8604
Mailing Address - Fax:405-521-8605
Practice Address - Street 1:707 NW 13TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73103-2206
Practice Address - Country:US
Practice Address - Phone:405-521-8604
Practice Address - Fax:405-521-8605
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK188082083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine