JOHN R WILSON

BARTLESVILLE, OK
NPI1578700217
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
(Licence: OK  LPO40)
Additional Taxonomies222Z00000X Orthotist
(Licence: OK  LPO40)
Enumeration Date2009-01-16
Last Update Date2009-01-16
Business Address
-- JOHN R WILSON BOCPO
1904 SE WASHINGTON BLVD
BARTLESVILLE, OK 74006-6736
Phone number: 918-333-6900
Mailing Address
-- JOHN R WILSON BOCPO
1904 SE WASHINGTON BLVD
BARTLESVILLE, OK 74006-6736
Phone number: 918-333-6900