DAVID JAMES WILSON

TAHLEQUAH, OK
NPI1427168566
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: IA  01325)
Additional Taxonomies208600000X Surgery
(Licence: AZ  2003)
Enumeration Date2006-08-30
Last Update Date2011-01-25
Business Address
-- DAVID JAMES WILSON D.O.
100 S BLISS AVE
TAHLEQUAH, OK 74464-2512
Phone number: 918-458-3100
Mailing Address
-- DAVID JAMES WILSON D.O.
27 GARY CT
LAKE OZARK, MO 65049-6716
Phone number: 573-365-7241
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