Provider Demographics
NPI:1992372247
Name:JULIE L WILEY DO PLLC
Entity Type:Organization
Organization Name:JULIE L WILEY DO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:L
Authorized Official - Last Name:DILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-735-9700
Mailing Address - Street 1:10400 S WESTERN AVE STE 7
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73139-3017
Mailing Address - Country:US
Mailing Address - Phone:405-632-7256
Mailing Address - Fax:405-632-5024
Practice Address - Street 1:10400 S WESTERN AVE STE 7
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73139-3017
Practice Address - Country:US
Practice Address - Phone:405-632-7256
Practice Address - Fax:405-632-5024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-07
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty