Whalio Doctors

NPI 1578700217

John R Wilson, BOCPO

Practitioner Prosthetist Bartlesville, OK

Practice location

Address
1904 SE Washington Blvd, Bartlesville, OK 74006-6736
Phone
(918) 333-6900
Fax
(918) 335-6687

Registered specialties (2)

Prosthetist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence LPO40 (OK)
Orthotist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence LPO40 (OK)

Registry record

NPI
1578700217
Entity type
Individual
Sex (as registered)
Male
NPI issued
16 Jan 2009
Record last updated
16 Jan 2009

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.