Individual
WILLIAM WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7301 SW 44TH ST STE A, OKLAHOMA CITY, OK 73179-4309
(405) 357-3500
(405) 357-3519
Mailing address
7301 SW 44TH ST STE A, OKLAHOMA CITY, OK 73179-4309
(405) 357-3500
(405) 357-3519
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17867
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100168780B
—
OK
05
—
100168780C
—
OK
Enumeration date
06/21/2006
Last updated
03/27/2018
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