Individual
DR. THOMAS C WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3431 S BOULEVARD ST, SUITE 106, EDMOND, OK 73013-5475
(405) 562-2036
(405) 562-2116
Mailing address
3431 S BOULEVARD ST, SUITE 106, EDMOND, OK 73013-5475
(405) 562-2036
(405) 562-2116
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
13218
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100110830B
—
OK
01
—
DA7066
MEDICARE RAILROAD
OK
Enumeration date
03/24/2006
Last updated
12/31/2012
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