Whalio Doctors

NPI 1134165327

John Wilkes, CRNA

Practitioner Anesthesiology Physician Ardmore, OK

Practice location

Address
2002 12th Ave NW Suite C, Ardmore, OK 73401-1206
Phone
(580) 226-1251
Mailing address
1012 14th Ave NW, Ardmore, OK 73401-1807

Registered specialties

Anesthesiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence R0036492 (OK)

Registry record

NPI
1134165327
Entity type
Individual
Sex (as registered)
Male
NPI issued
22 Jun 2006
Record last updated
8 Jul 2007

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.