Dr Connie M Wilson Pllc

NPI #1225388218 in Ardmore, Oklahoma

Provider Information

NPI Number: 1225388218
Entity Type: Organization
Organization Name: Dr Connie M Wilson Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Sep 17, 2012
Last Updated: Sep 17, 2012

Practice Location

Address: 970 NORTHWEST BLVD
City: Ardmore
State: Oklahoma
ZIP Code: 73401-1534
Phone: (580) 504-8084

Authorized Official

Name: DR. CONNIE MARIE WILSON, DO
Title: PHYSICIAN OWNER
Phone: (580) 504-8084

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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