Organization
JONATHAN D WILKS MD PC
Active
Organization
JONATHAN D WILKS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA J BANKSTON (BUSINESS MANAGER)
(405) 755-7672
Entity
Organization
Contact information
Practice address
4140 W MEMORIAL RD, SUITE 208, OKLAHOMA CITY, OK 73120-8366
(405) 755-4290
(405) 755-7773
Mailing address
4140 W MEMORIAL RD, SUITE 208, OKLAHOMA CITY, OK 73120-8366
(405) 755-4290
(405) 755-7773
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21132
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740385533
INDIVIDUAL NPI
OK
Enumeration date
03/21/2007
Last updated
08/22/2020
Update your record
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