Individual
RYAN D WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
800 24TH AVE, NORMAN, OK 73069
(405) 321-7100
Mailing address
5701 SE 74TH ST, SUITE E, OKLAHOMA CITY, OK 73135-1106
(405) 600-6869
(405) 600-6978
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
4123
OK
207Q00000X
Family Medicine Physician
4123
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200022310A
—
OK
Enumeration date
09/23/2005
Last updated
01/06/2022
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