Larry Grant Willis in Oklahoma City - Rheumatology

Larry Grant Willis - NPI 1952309155

Larry Grant Willis is a Rheumatology in Oklahoma City, Oklahoma. Larry Grant Willis practices all healthcare services and medical treatments related to Rheumatology. The NPI Number for Larry Grant Willis is 1952309155. The last update date is 2007-07-08.

Larry Grant Willis's current location address is Po Box 268981, Oklahoma City, Oklahoma. You can contact this provider via phone number 4052309000 and fax number 4052309375. The mailing address for Larry Grant Willis is Po Box 268981, Oklahoma City, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Larry Grant Willis
Address Po Box 268981, Oklahoma City, Oklahoma
Phone Number 4052309000
Fax Number 4052309375
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1952309155
Provider Enumeration Date 2005-07-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 268981
City Oklahoma City
State Oklahoma (OK)
Post Code 731268981
Phone Number 4052309000
Fax Number 4052309375

Provider's Primary Taxonomy Detail

Speciality Rheumatology
Taxonomy 207Rr0500X
Licence No 10557
Definition:
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
730714291-016 OK BCBS OF OKLAHOMA

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FAQs about Larry Grant Willis

What is the unique identification code assigned to Larry Grant Willis by the Centers for Medicare & Medicaid Services?

The Larry Grant Willis has been issued the NPI (National Provider Identifier) 1952309155. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Larry Grant Willis?

The Larry Grant Willis is situated at Po Box 268981, in the city of Oklahoma City, state of OK, with the zip code 731268981.

What is Larry Grant Willis's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Larry Grant Willis is Rheumatology, and the taxonomy code that categorizes this field of expertise is 207Rr0500X.

On what date did the Larry Grant Willis receive its 1952309155 assignment from the Centers for Medicare & Medicaid Services?

The Larry Grant Willis was assigned its 1952309155 by the Centers for Medicare & Medicaid Services on 2005-07-12.

As of what date were the details related to Larry Grant Willis most recently updated or revised?

The information pertaining to Larry Grant Willis, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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