Individual
CHRISTINE ELAINE WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
436 S. MUSTANG ROAD, MUSTANG, OK 73099-6754
(405) 265-2733
(405) 265-2926
Mailing address
14024 QUAIL POINTE DR, OKLAHOMA CITY, OK 73134-1006
(405) 419-8447
(405) 419-7745
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1917
OK
Other
Enumeration date
05/06/2010
Last updated
02/05/2016
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