Organization
CORNWELL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONDALL LEE CORNWELL D.C. (DOCTOR OF CHIROPRACTIC)
(405) 330-2400
Entity
Organization
Contact information
Practice address
285 S SANTA FE AVE, EDMOND, OK 73003-4767
(405) 330-2400
(405) 330-6591
Mailing address
285 S SANTA FE AVE, EDMOND, OK 73003-4767
(405) 330-2400
(405) 330-6591
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3476
OK
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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