Dr. Gregory L Wilson
Neurosurgeon Neuromusculoskeletal Medicine (NMM)
9709 E 79th St
Tulsa
, Oklahoma 74133-4566
Dr. Gregory L Wilson
Neurosurgeon Neuromusculoskeletal Medicine (NMM)
9709 E 79th St
Tulsa
, Oklahoma 74133-4566
(918) 994-4090
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
- Neurosurgeon
Languages spoken
- English
Location
First Address
- Dr. Gregory L Wilson
- 9709 E 79th St
- Tulsa, OK
- Zip : 74133-4566
- Fax : (918) 994-4090
- Phone : (918) 994-4000
Second Address
- Dr. Gregory L Wilson
- 9709 E 79th St
- Tulsa, OK
- Zip : 74133-4566
- Fax : (918) 994-4090
- Phone : (918) 994-4000
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 2754 | OK |
| Y | 207T00000X | Neurosurgeon | 2754 | OK |
National Provider Identifier
| NPI | 1619030996 |
|---|---|
| Provider Name | Dr. Gregory L Wilson |
| First Address | Tulsa, OK 74133-4566 |
| Second Address | Tulsa, OK 74133-4566 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/12/2006 |
| Last Update Date | 09/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100125210A | (05) | OK |
| E85857 | (02) | OK |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.