Individual
DR. JACK BENSON WEEMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
467 SOUTH WILSON, VINITA, OK 74301-4245
(918) 256-8744
(918) 256-8747
Mailing address
467 SOUTH WILSON, VINITA, OK 74301-4245
(918) 256-8744
(918) 256-8747
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2157
OK
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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