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Contact Information

GREGORY L WILSON, DO
9709 E 79TH ST
TULSA, OK74133-4566
 Phone: 918-994-4000
 Fax: 918-994-4090
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
Indicates primary specialty

NPI Profile & details for GREGORY L WILSON · (Male)

NPI Number 1619030996
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 12/18/2006
Last updated 08/22/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 2754
  • OK Medicaid 100125210A
Hospital affiliation(s)
  • HILLCREST HOSPITAL SOUTH - (Acute Care)
    8801 SOUTH 101ST EAST AVENUE
    TULSA, OK 74133
  • HILLCREST MEDICAL CENTER - (Acute Care)
    1120 SOUTH UTICA AVENUE
    TULSA, OK 74104
  • OKLAHOMA SURGICAL HOSPITAL LLC - (Acute Care)
    2408 EAST 81ST STREET, SUITE 300
    TULSA, OK 74137
  • ST LUKES REGIONAL MEDICAL CENTER - (Acute Care)
    190 EAST BANNOCK STREET
    BOISE, ID 83712
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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