Individual provider · Type 1 NPI

Vivian L. Wilson, MD

Family Medicine Physician · Spencer, OK

NPI number 1386753945 Active

Practice location

12716 NE 36th St
Spencer, OK 73084-9167

Fax (405) 769-9685

Mailing address

PO Box 30589, 12716 N.e. 36th Street
Midwest City, OK 73140-3589

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X11902 (OK)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1386753945

Vivian L. Wilson, MD's National Provider Identifier is 1386753945, issued on Aug 29, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Spencer, OK. The record was last updated on Sep 22, 2026.