Provider Demographics
NPI:1376833160
Name:KNIGHT, WILSON GREGORY II (DO)
Entity Type:Individual
Prefix:DR
First Name:WILSON
Middle Name:GREGORY
Last Name:KNIGHT
Suffix:II
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5046 N PEORIA AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74126-3446
Mailing Address - Country:US
Mailing Address - Phone:918-712-0239
Mailing Address - Fax:
Practice Address - Street 1:5046 N PEORIA AVE STE 300
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74126-3446
Practice Address - Country:US
Practice Address - Phone:918-712-0239
Practice Address - Fax:918-992-9191
Is Sole Proprietor?:No
Enumeration Date:2011-04-13
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK390200000X
OK5244207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program