Christopher Shane Wilson

NPI #1992326441 in Warr Acres, Oklahoma

Provider Information

NPI Number: 1992326441
Entity Type: Individual
Name: Christopher Shane Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: May 6, 2020
Last Updated: May 6, 2020

Practice Location

Address: 5800 NW 71ST ST
City: Warr Acres
State: Oklahoma
ZIP Code: 73132-6607
Phone: (405) 255-9594

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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