Individual
DR. CODY T ELLEDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5715 N WESTERN AVE STE B, OKLAHOMA CITY, OK 73118-1239
(405) 858-2225
(405) 858-0035
Mailing address
5715 N WESTERN AVE STE B, OKLAHOMA CITY, OK 73118-1239
(405) 858-2225
(405) 843-0035
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3835
OK
Other
Enumeration date
06/06/2007
Last updated
06/28/2013
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