Nathaniel Wickoren
Nathaniel Wickoren is an Electroneurodiagnostic Specialist/Technologist in Tulsa, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1715 S Baltimore AveTulsa, OK 74119-4807
Phone: (918) 895-7680
Fax: (918) 236-4646
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Specialties & licences
| Electroneurodiagnostic Specialist/Technologist (primary) | Taxonomy 246ZE0600X |
|---|
Record details
| NPI number | 1013612316 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 4, 2023 |
| Last updated in NPPES | April 4, 2023 |
| Certification date | April 4, 2023 |
| Mailing address | 1715 S Baltimore Ave, Tulsa, OK 74119-4807 |
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