Individual
MYLES WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
7777 S LEWIS AVE, TULSA, OK 74171-0003
(918) 495-6806
Mailing address
7777 S LEWIS AVE, TULSA, OK 74171-0003
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
877
OK
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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