# PERRY WELLNESS CENTER PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Perry Wellnes Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750482741
- **Authorized official:** DR. JONTHAN RADKOFF EK MD (OWNERPHYSICIAN)
- **Authorized official phone:** (580) 336-3735

## Contact information

- **Practice address:** 501 N 14TH ST, ATTN: J. EK, PERRY, OK 73077-5021
- **Practice address phone:** (580) 336-3735
- **Practice address fax:** (580) 336-3738
- **Mailing address:** 501 N 14TH ST, ATTN: J. EK, PERRY, OK 73077-5021
- **Mailing address phone:** (580) 336-3735
- **Mailing address fax:** (580) 336-3738

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 23862 | OK | Yes |

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 03/03/2008