# RED EARTH OSTEOPATHIC MEDICINE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538562301
- **Authorized official:** DR. PAMELA LEE WILSON DO (PHYSICIAN)
- **Authorized official phone:** (405) 517-1704

## Contact information

- **Practice address:** 905 N FLOOD AVE, NORMAN, OK 73069-7641
- **Practice address phone:** (405) 928-1922
- **Practice address fax:** (222) 222-2222
- **Mailing address:** 1600 BURLWOOD RD, NORMAN, OK 73026-0745
- **Mailing address phone:** (405) 517-1704
- **Mailing address fax:** (111) 111-1111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 3300 | OK | Yes |

## Other

- **Enumeration date:** 10/07/2014
- **Last updated:** 10/07/2014