Individual
MR. WILLIAM M WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1215 NW 25TH ST, OKLAHOMA CITY, OK 73106-5629
(405) 525-2525
(405) 525-3108
Mailing address
700 NW 17TH ST APT 10, OKLAHOMA CITY, OK 73103-2129
(405) 525-2525
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
R0080272
OK
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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