Organization
OKLAHOMA NEUROSURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY L. WILSON D.O. (NEUROSURGEON)
(918) 599-9040
Entity
Organization
Contact information
Practice address
1809 E 13TH ST STE 405, TULSA, OK 74104-4431
(918) 599-9040
(918) 599-9048
Mailing address
1809 E 13TH ST STE 405, TULSA, OK 74104-4431
(918) 599-9040
(918) 599-9048
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
2754
OK
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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