Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 17034 | OK |
NPI | 1003085275 |
---|---|
Provider Name | Dr. Elizabeth Anne Williams |
First Address | Oklahoma City, OK 73162-3427 |
Second Address | Oklahoma City, OK 73162-3427 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2008 |
Last Update Date | 21/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100130270A | (05) | OK |
17034 | MEDICAL LICENSE NUMBER (01) | OK |
F31373 | (02) | OK |