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Organization
MEDOK SOUTH MAY LLC
Active
Organization
MEDOK SOUTH MAY LLC
Active
Other names
Motive Men's Wellness, Premier Plus Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WILSON DO (OWNER)
(405) 659-7114
Entity
Organization
Contact information
Practice address
2804 SW 134TH ST, OKLAHOMA CITY, OK 73170-5474
(405) 676-8608
(405) 676-8631
Mailing address
2804 SW 134TH ST, OKLAHOMA CITY, OK 73170-5474
(405) 676-8608
(405) 676-8631
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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