William Earl Tankersley IV MD

NPI 1053402347 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1053402347
Gender Male
Enumeration Date 09/28/2006
Last Updated 04/29/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
604 S CLASSEN AVE
SUITE C
MOORE OK, 73160-5401, US
Phone (405) 799-0900
Fax (405) 799-0902
Business Location
PO BOX 7411
MOORE OK, 73153-1411, US
Phone (405) 799-0900
Fax (405) 799-0902
Toxanomy
Taxonomy Code 2084P0800X
License State Oklahoma
License Number 24016
Remove 1053402347 NPI Number
 

According to our database, William Earl Tankersley IV MD NPI is 1053402347, taxonomy code is 2084P0800X and license number is 24016, license state is located at Oklahoma. William Earl Tankersley IV MD physically located at 604 S Classen Ave, Moore OK, 73160-5401. NPI Number William Earl Tankersley IV MD has the Individual type.

Sponsored links

1053402347 NPI number is provided on an as is basis without warranty of any kind. 1053402347 is maintained by the National Plan & Provider Enumeration System. The contents of William Earl Tankersley IV MD are for informational purposes only.