Organization
INVICTUS HEALTHCARE SYSTEM, PLLC
Active
Organization
INVICTUS HEALTHCARE SYSTEM, PLLC
Active
Other names
Invictus Healthcare System
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY L WILSON DO (BUSINESS OWNER)
(918) 994-4000
Entity
Organization
Contact information
Practice address
9709 E 79TH ST, TULSA, OK 74133-4566
(918) 994-4000
(918) 994-4090
Mailing address
9709 E 79TH ST, TULSA, OK 74133-4566
(918) 994-4000
(918) 994-4090
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
25510
OK
207T00000X
Neurological Surgery Physician
Primary
2574
OK
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
4272
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200563910A
—
OK
Enumeration date
11/11/2014
Last updated
12/07/2022
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