| NPI | 1538671425 |
|---|---|
| Other Name | WILBURTON FAMILY MEDICAL |
| Entity Type | Organization |
| Authorized Contact | JUDY BREWSTER Office Manager 918-465-9612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: OK 72256) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 261Q00000X | |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2020-06-16 |