Search › Oklahoma › 225100000X
Wesley Pack
NPI 1336436104 · on the registry since 2011
Practice
- Address
- 6904 E Reno Ave
Midwest City, OK 73110 - Phone
- (405) 610-2488
- Fax
- (405) 610-2484
- Organisation at this address
- Valir Outpatient Clinics Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-06-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma