Individual
BILLY JOE WILKERSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BOC CP LP
Contact information
Practice address
16105 CATTAIL CIRCLE, EDMOND, OK 73013
(405) 315-1513
Mailing address
16105 CATTAIL CIRCLE, EDMOND, OK 73013
(405) 315-1513
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
19
OK
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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