Individual
DR. CHARLES EDWARD RONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1001 N GRAND AVE, TAHLEQUAH, OK 74464-7017
(918) 444-2109
Mailing address
14701 N SANTA FE AVE, EDMOND, OK 73013-3411
(405) 752-2733
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2950
OK
Other
Enumeration date
08/25/2017
Last updated
08/30/2017
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