Oklahoma Wellness Group LLC

NPI #1578031571 in Edmond, Oklahoma

Provider Information

NPI Number: 1578031571
Entity Type: Organization
Organization Name: Oklahoma Wellness Group LLC
Primary Specialty: Internal Medicine
Enumeration Date: Nov 7, 2018
Last Updated: Nov 7, 2018

Practice Location

Address: 14101 NORTH ESATERN AVENUE SUITE B
City: Edmond
State: Oklahoma
ZIP Code: 73013
Phone: (405) 513-6655

Authorized Official

Name: WILLIAM G REILLY, MD
Title: AUTHORIZED OFFICIAL
Phone: (817) 410-3800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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