Individual
MR. DWIGHT LYNN PONDER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8817 SALSBURY LN, OKLAHOMA CITY, OK 73132-2046
(405) 501-5736
Mailing address
8817 SALSBURY LN, OKLAHOMA CITY, OK 73132-2046
(405) 501-5736
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/22/2013
Last updated
05/22/2013
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