FREDERICK W WILLISON

TULSA, OK
NPI1932177011
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0001X 
(Licence: OK  20141)
Additional Taxonomies2085R0001X 
(Licence: VA  0101052684)
Enumeration Date2006-03-14
Last Update Date2007-07-08
Business Address
-- FREDERICK W WILLISON MD
1923 S UTICA AVE
TULSA, OK 74104-6520
Phone number: 918-744-2345
Mailing Address
-- FREDERICK W WILLISON MD
1923 S UTICA AVE
TULSA, OK 74104-6520
Phone number: 918-744-2345
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