Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 3299 | OK |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 34.007635 | OH |
NPI | 1336121169 |
---|---|
Provider Name | Dr. Marvin Williams |
First Address | Oklahoma City, OK 73117-1039 |
Second Address | Oklahoma City, OK 73104-5417 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2005 |
Last Update Date | 22/04/2008 |