Gregory L Wilson in Tulsa - Neuromusculoskeletal Medicine & Omm
Gregory L Wilson - NPI 1619030996
Gregory L Wilson is a Neuromusculoskeletal Medicine & Omm in Tulsa, Oklahoma. Gregory L Wilson practices all healthcare services and medical treatments related to Neuromusculoskeletal Medicine & Omm. The NPI Number for Gregory L Wilson is 1619030996. The last update date is 2022-08-22.
Gregory L Wilson's current location address is 9709 E 79th St, Tulsa, Oklahoma. You can contact this provider via phone number 9189944000 and fax number 9189944090. The mailing address for Gregory L Wilson is 9709 E 79th St, Tulsa, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory L Wilson |
|---|---|
| Address | 9709 E 79th St, Tulsa, Oklahoma |
| Phone Number | 9189944000 |
| Fax Number | 9189944090 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1619030996 |
|---|---|
| Provider Enumeration Date | 2006-12-18 |
| Last Updated Date | 2022-08-22 |
Provider Mailing Address Detail
| Address | 9709 E 79th St |
|---|---|
| City | Tulsa |
| State | Oklahoma (OK) |
| Post Code | 741334566 |
| Phone Number | 9189944000 |
| Fax Number | 9189944090 |
Provider's Primary Taxonomy Detail
| Speciality | Neuromusculoskeletal Medicine & Omm |
|---|---|
| Taxonomy | 204D00000X |
| Licence No | 2754 |
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Definition: The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Med |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100125210A | OK | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Gregory L Wilson by the Centers for Medicare & Medicaid Services (CMS)?
The Gregory L Wilson has been assigned the NPI (National Provider Identifier) 1619030996. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Gregory L Wilson?
The Gregory L Wilson is situated at 9709 E 79Th St, in the city of Tulsa, state of OK, with the zip code 741334566.
What is Gregory L Wilson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gregory L Wilson's area of specialization is Neuromusculoskeletal Medicine & Omm, and the corresponding taxonomy code that categorizes this field of practice is 204D00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1619030996 to Gregory L Wilson?
The Centers for Medicare & Medicaid Services assigned the 1619030996 to Gregory L Wilson on 2006-12-18.
When was the information regarding Gregory L Wilson most recently updated?
The details pertaining to the Gregory L Wilson, including its address, specialty, and other relevant information, were last refreshed on 2022-08-22.