| Williams Medical Group Practice, Llc | |
|
280 Trower Blvd Mannford OK 74044 | |
| (405) 445-1210 | |
| Not Available |
| Full Name | Williams Medical Group Practice, Llc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 280 Trower Blvd, Mannford, Oklahoma |
| Authorized Official Name and Position | Grant Asay (CEO) |
| Authorized Official Contact | 4054451210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Williams Medical Group Practice, Llc 777 Nw 63rd St Fl 2 Oklahoma City OK 73116-7601 Ph: (405) 445-1210 | Williams Medical Group Practice, Llc 280 Trower Blvd Mannford OK 74044 Ph: (405) 445-1210 |
| NPI Number | 1306660691 |
|---|---|
| Provider Enumeration Date | 11/13/2024 |
| Last Update Date | 11/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306660691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
R. Michael Eimen, D.o. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Cimarron Dr, Mannford, OK 74044 Phone: 918-865-5000 Fax: 918-865-5050 |