Organization
RMO - TULSA, PLLC
Active
Organization
RMO - TULSA, PLLC
Active
Other names
Rehabilitation Medicine of Oklahoma
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK STEPHEN WILSON M.D. (CEO, MEDICAL DIRECTOR)
(918) 488-8285
Entity
Organization
Contact information
Practice address
5522 S LEWIS AVE, TULSA, OK 74105-7105
(918) 488-8285
Mailing address
635 W 79TH ST, TULSA, OK 74132-2645
(918) 488-8285
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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