Provider Demographics
NPI:1245522549
Name:WILLIAMS, PHILLIP SCOTT (DO)
Entity type:Individual
Prefix:DR
First Name:PHILLIP
Middle Name:SCOTT
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:5300 N INDEPENDENCE AVE STE 280
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-5555
Mailing Address - Country:US
Mailing Address - Phone:918-786-6228
Mailing Address - Fax:918-786-3724
Practice Address - Street 1:601 E 13TH ST STE H
Practice Address - Street 2:
Practice Address - City:GROVE
Practice Address - State:OK
Practice Address - Zip Code:74344-2962
Practice Address - Country:US
Practice Address - Phone:918-786-6228
Practice Address - Fax:918-786-3724
Is Sole Proprietor?:No
Enumeration Date:2011-05-05
Last Update Date:2020-08-27
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Provider Licenses
StateLicense IDTaxonomies
OK5130207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine