Nicholas Howard Wilson, PA-C

NPI #1902371222 in Oklahoma City, Oklahoma

Provider Information

NPI Number: 1902371222
Entity Type: Individual
Name: Nicholas Howard Wilson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 12, 2018
Last Updated: Jul 23, 2019

Practice Location

Address: 3301 NW 50TH ST
City: Oklahoma City
State: Oklahoma
ZIP Code: 73112-5627
Phone: (405) 947-0911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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