Connie M Wilson Do PC

NPI #1043505456 in Ardmore, Oklahoma

Provider Information

NPI Number: 1043505456
Entity Type: Organization
Organization Name: Connie M Wilson Do PC
Primary Specialty: Internal Medicine
Enumeration Date: Jun 14, 2011
Last Updated: Sep 27, 2011

Practice Location

Address: 1005 15TH AVE NW
City: Ardmore
State: Oklahoma
ZIP Code: 73401-1810
Phone: (580) 226-1010

Authorized Official

Name: DR. CONNIE M WILSON, DO
Title: OWNER / PRESIDENT
Phone: (580) 504-5596

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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