# WELLNESS CENTER OF SOUTHERN OKLAHOMA, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871843920
- **Authorized official:** DR. BENJAMIN BAKER FORE D.O. (DOCTOR)
- **Authorized official phone:** (580) 223-3737

## Contact information

- **Practice address:** 1001 15TH AVE NW, ARDMORE, OK 73401-1803
- **Practice address phone:** (580) 223-3737
- **Practice address fax:** (580) 223-4801
- **Mailing address:** 1001 15TH AVE NW, ARDMORE, OK 73401-1803
- **Mailing address phone:** (580) 223-3737
- **Mailing address fax:** (580) 223-4801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | NULL | — |
| 207K00000X | Allergy & Immunology Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/17/2012
- **Last updated:** 02/13/2015