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 |
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Address | Po Box 268981, Oklahoma City, Oklahoma |
Phone Number | 4052309000 |
Fax Number | 4052309375 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1952309155 |
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Provider Enumeration Date | 2005-07-12 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | Po Box 268981 |
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City | Oklahoma City |
State | Oklahoma (OK) |
Post Code | 731268981 |
Phone Number | 4052309000 |
Fax Number | 4052309375 |
Provider's Primary Taxonomy Detail
Speciality | Rheumatology |
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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 |
Post Comment/ Review Below
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.