Organization
RANCH WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERIMY TODD COX DC (OWNER)
(580) 762-1500
Entity
Organization
Contact information
Practice address
516 E HARTFORD AVE, PONCA CITY, OK 74601-2003
(580) 762-1500
Mailing address
516 E HARTFORD AVE, PONCA CITY, OK 74601-2003
(580) 762-1500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3829
OK
Other
Enumeration date
06/08/2007
Last updated
11/02/2015
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