Individual
ANDREW THOMAS WILBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
927 S OSWEGO AVE, TULSA, OK 74112-3945
(918) 344-8800
Mailing address
927 S OSWEGO AVE, TULSA, OK 74112-3945
(918) 344-8800
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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