NPI 1427665561

Isaiah Wilson MD PLLC

Organisation Physical Medicine & Rehabilitation Physician Broken Arrow, OK

Practice location

Address: 1200 W Albany St, Broken Arrow, OK 74012-8146
Phone: (918) 744-2338
Mailing address: PO Box 1383, Jenks, OK 74037-1383

Authorised official

Name: Isaiah Wilson
Title: Ceo
Phone: (517) 862-2565

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X

Other Physical Medicine & Rehabilitation providers in Oklahoma →

Registry record

NPI: 1427665561
Entity type: Organization
NPI issued: 23 Sep 2020
Record last updated: 23 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.