Individual
DAVID STANTON WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 LONE OAK CIR, FORT GIBSON, OK 74434-5005
(918) 203-2222
(918) 203-2223
Mailing address
115 LONE OAK CIR, FORT GIBSON, OK 74434-5005
(918) 203-2222
(918) 203-2223
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
15352
OK
Other
Enumeration date
06/11/2008
Last updated
05/13/2014
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