Individual
NICHOLAS HOWARD WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3301 NW 50TH ST, OKLAHOMA CITY, OK 73112-5627
(405) 947-0911
Mailing address
14100 PARKWAY COMMONS DR, STE 101, OKLAHOMA CITY, OK 73134-6036
(405) 463-3370
(405) 463-3371
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/12/2018
Last updated
07/23/2019
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