IndividualActive
Gregory Wilson, D.O.
NPI 1619030996 · Neurological Surgery Physician · Tulsa, OK
Provider details
- NPI number
- 1619030996
- Entity type
- Individual
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 2754 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
9709 E 79th St
Tulsa, OK 74133-4566
Phone: (918) 994-4000
Fax: (918) 994-4090
Approximate (ZIP-level) locationGet directions
Mailing address
9709 E 79th St
Tulsa, OK 74133-4566
Registry dates
- Enumerated
- 2006-12-18
- Last updated
- 2022-08-22
- Certified
- 2022-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.