Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 19051 | OK |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 19051 | OK |
NPI | 1215917778 |
---|---|
Provider Name | Dr. William J. Hale II |
First Address | Edmond, OK 73013-8504 |
Second Address | Edmond, OK 73013-8504 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2006 |
Last Update Date | 28/04/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100114180B | (05) | OK |
G87437 | (02) | OK |