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NPI Profile for JOHN R WILSON in BARTLESVILLE, OK.
An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Prosthetist |
224P00000X | 56 | Individual Certified Prosthetist | |
Orthotist |
222Z00000X | 55 | Individual Certified Orthotist |
| NPI Number | 1578700217 |
|
| Status | Active | |
| Credentials | BOCPO | |
| Entity | Individual | |
| Enumeration date | 01/16/2009 | |
| Last updated | 01/16/2009 - About 17 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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JOHN R WILSON
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JOHN R WILSON, BOCPO