Provider Demographics
NPI:1396755708
Name:WILLIAMS, SCOTT E (DO)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:E
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:226 SE DEBELL AVE
Mailing Address - Street 2:BLDG A
Mailing Address - City:BARTLESVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74006-2343
Mailing Address - Country:US
Mailing Address - Phone:918-331-1045
Mailing Address - Fax:918-331-1051
Practice Address - Street 1:224 SE DEBELL AVE
Practice Address - Street 2:
Practice Address - City:BARTLESVILLE
Practice Address - State:OK
Practice Address - Zip Code:74006-2305
Practice Address - Country:US
Practice Address - Phone:918-331-1045
Practice Address - Fax:918-331-1051
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4142208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery