Provider Demographics
NPI:1861848939
Name:WILSON, JOSHUA ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:ALAN
Last Name:WILSON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3400 W TECUMSEH RD STE 101
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-1810
Mailing Address - Country:US
Mailing Address - Phone:405-515-0679
Mailing Address - Fax:405-360-6769
Practice Address - Street 1:3400 W TECUMSEH RD STE 101
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-1810
Practice Address - Country:US
Practice Address - Phone:405-515-0649
Practice Address - Fax:405-360-6769
Is Sole Proprietor?:No
Enumeration Date:2016-05-09
Last Update Date:2023-08-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK32312207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery