Organization
MIDTOWN OBGYN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON MARAY WILSON DO (OBGYN)
(918) 549-0497
Entity
Organization
Contact information
Practice address
1705 E 19TH ST STE 701, TULSA, OK 74104-5418
(918) 549-0497
Mailing address
667 W 79TH ST, TULSA, OK 74132-2645
(918) 549-0497
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
—
—
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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