Individual
GARY WAINE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7101 NW EXPRESSWAY, SUITE 335, OKLAHOMA CITY, OK 73132-1561
(405) 722-2020
(405) 516-6126
Mailing address
7101 NW EXPRESSWAY, SUITE 335, OKLAHOMA CITY, OK 73132-1561
(405) 722-2020
(405) 516-6126
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
10467
OK
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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