Organization
DR THOMAS WOLF AND ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS C. WOLF M.D. (OWNER/PHYSICIAN)
(405) 562-2036
Entity
Organization
Contact information
Practice address
3431 S BOULEVARD ST, EDMOND, OK 73013-5475
(405) 562-2036
(405) 562-2116
Mailing address
3431 S BOULEVARD ST, EDMOND, OK 73013-5475
(405) 562-2036
(405) 562-2116
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
OK13218
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200062900A
—
OK
01
—
DA7066
MEDICARE RAILROAD
OK
Enumeration date
05/08/2006
Last updated
08/05/2010
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