Individual
PAMELA L WILSON
Active
Individual
PAMELA L WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
3300
OK
2085R0202X
Diagnostic Radiology Physician
Primary
3300
OK
Other
Enumeration date
07/19/2006
Last updated
10/01/2018
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