Individual
JONATHAN DAVID WILKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9100 N MAY AVE, OKLAHOMA CITY, OK 73120-4417
(405) 840-4456
(405) 840-4295
Mailing address
9100 N MAY AVE, OKLAHOMA CITY, OK 73120-4417
(405) 840-4456
(405) 840-4295
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21132
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100126150C
—
OK
Enumeration date
09/14/2006
Last updated
10/29/2018
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