William Bendure Md, Pllc | |
4221 S Western Ave Suite 5000 Oklahoma City OK 73109-3447 | |
(405) 644-5160 | |
Not Available |
Full Name | William Bendure Md, Pllc |
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Speciality | Psychiatry & Neurology |
Location | 4221 S Western Ave, Oklahoma City, Oklahoma |
Authorized Official Name and Position | William Blaine Bendure (MANAGER/NEUROLOGIST) |
Authorized Official Contact | 4058166483 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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William Bendure Md, Pllc 143 Wright Cir Edmond OK 73013-1301 Ph: (405) 816-6483 | William Bendure Md, Pllc 4221 S Western Ave Suite 5000 Oklahoma City OK 73109-3447 Ph: (405) 644-5160 |
NPI Number | 1932582624 |
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Provider Enumeration Date | 06/30/2015 |
Last Update Date | 07/29/2015 |
Medicare PECOS PAC ID | 6608183082 |
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Medicare Enrollment ID | O20150917000551 |
Identifier | Type | State | Issuer |
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1932582624 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084N0400X | Psychiatry & Neurology - Neurology | 28652 (Oklahoma) | Primary |
Provider Name | William Blaine Bendure |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1740574987 PECOS PAC ID: 7416264890 Enrollment ID: I20150917000673 |
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