Individual
MEGAN BREFFNEY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
112 WEST 5TH STREET, OKMULGEE, OK 74447
(918) 752-1080
(918) 752-1081
Mailing address
112 WEST 5TH STREET, OKMULGEE, OK 74447-5320
(918) 752-1080
(918) 752-1081
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5468
OK
Other
Enumeration date
04/01/2012
Last updated
04/30/2020
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