| Stevie Wilson, P.c. | |
|
1601 Medical Center Dr Suite 6 Edmond OK 73034-6359 | |
| (405) 420-1658 | |
| Not Available |
| Full Name | Stevie Wilson, P.c. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1601 Medical Center Dr, Edmond, Oklahoma |
| Authorized Official Name and Position | Stevie Wilson (DIRECTOR) |
| Authorized Official Contact | 4054201658 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stevie Wilson, P.c. 9501 S I 35 Service Rd 907 Moore OK 73160-3140 Ph: (405) 420-1658 | Stevie Wilson, P.c. 1601 Medical Center Dr Suite 6 Edmond OK 73034-6359 Ph: (405) 420-1658 |
| NPI Number | 1861733800 |
|---|---|
| Provider Enumeration Date | 03/14/2013 |
| Last Update Date | 03/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861733800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4859 (Oklahoma) | Primary |
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