Willis, Larry Grant

Willis, Larry Grant is an individual health care provider with primary practice located at 1110 N Lee Ave , Oklahoma City OK 73103-2612. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Willis, Larry Grant can be contacted via phone (405) 230-9000.

Contact Information

Primary practice address
1110 N Lee Ave Oklahoma City OK 73103-2612
Phone: (405) 230-9000
Fax: (405) 230-9443
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 10557 Oklahoma

Profile Details

NPI number 1952309155
LBN Legal business name Willis, Larry Grant
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952309155 NPPES
Oklahoma Other 730714291-016 BCBS OF OKLAHOMA

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