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Organization
PERRY WELLNESS CENTER PLLC
Active
Organization
PERRY WELLNESS CENTER PLLC
Active
Other names
Perry Wellnes Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONTHAN RADKOFF EK MD (OWNERPHYSICIAN)
(580) 336-3735
Entity
Organization
Contact information
Practice address
501 N 14TH ST, ATTN: J. EK, PERRY, OK 73077-5021
(580) 336-3735
(580) 336-3738
Mailing address
501 N 14TH ST, ATTN: J. EK, PERRY, OK 73077-5021
(580) 336-3735
(580) 336-3738
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23862
OK
Other
Enumeration date
09/25/2006
Last updated
03/03/2008
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