Individual
JAMES BERRY WISE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3435 NW 56TH ST, STE #1010 A, OKLAHOMA CITY, OK 73112-4442
(405) 945-4747
(405) 945-4748
Mailing address
3435 NW 56TH ST, STE #1010 A, OKLAHOMA CITY, OK 73112-4442
(405) 945-4747
(405) 945-4748
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
8282
OK
207W00000X
Ophthalmology Physician
AW2160024
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8282
STATE LICENSE
OK
Enumeration date
01/30/2006
Last updated
03/07/2023
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