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 |