Individual
MR. PATRICK LEWIS WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MMSC, MS, LCGC
Contact information
Practice address
1200 CHILDRENS AVE STE 1100, PRENATAL DIAGNOSTIC CENTER, OUCPB, OKLAHOMA CITY, OK 73104-4637
(405) 271-5400
(405) 271-5519
Mailing address
709 NW 121ST TER, OKLAHOMA CITY, OK 73114-8320
(405) 271-5400
(405) 271-5519
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
1
OK
Other
Enumeration date
11/08/2007
Last updated
03/17/2016
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