Individual
DR. MARTY VAUGHN FARQUHARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CHIROPRACTIC PHYSICI
Contact information
Practice address
900 E HARTFORD AVE, PONCA CITY, OK 74601
(580) 765-1164
(580) 765-2464
Mailing address
900 E HARTFORD AVE, PONCA CITY, OK 74601
(580) 765-1164
(580) 765-2464
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2390
OK
Other
Enumeration date
10/31/2006
Last updated
05/13/2008
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