Individual
ALEX WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1921 STONECIPHER BLVD, ADA, OK 74820
(580) 421-4570
(580) 421-6283
Mailing address
1921 STONECIPHER BLVD, ADA, OK 74820
(580) 421-4570
(580) 421-6283
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1058
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100187660B
—
OK
Enumeration date
05/03/2006
Last updated
09/08/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us