| NPI | 1043505456 |
|---|---|
| Doing Business As | WILSON LOUGHRIDGE |
| Entity Type | Organization |
| Authorized Contact | CONNIE M WILSON Owner / President 580-504-5596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 3394) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2011-09-27 |