| William E Tankersley Md Pllc | |
|
604 S Classen Ave Suite C Moore OK 73160-5401 | |
| (405) 799-0900 | |
| (405) 799-0902 |
| Full Name | William E Tankersley Md Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 604 S Classen Ave, Moore, Oklahoma |
| Authorized Official Name and Position | William E Tankersley (PHYSICIAN/OWNER) |
| Authorized Official Contact | 4057990900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William E Tankersley Md Pllc Po Box 7411 Moore OK 73153-1411 Ph: (405) 799-0900 | William E Tankersley Md Pllc 604 S Classen Ave Suite C Moore OK 73160-5401 Ph: (405) 799-0900 |
| NPI Number | 1366616526 |
|---|---|
| Provider Enumeration Date | 04/18/2008 |
| Last Update Date | 04/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366616526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 24016 (Oklahoma) | Primary |
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