Organization
WEDMAN CHIROPRACTIC PC
Active
Organization
WEDMAN CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA MARK WEDMAN D.C. (CHIROPRACTOR)
(918) 299-8338
Entity
Organization
Contact information
Practice address
715 W MAIN ST STE P, JENKS, OK 74037-3553
(918) 299-8338
(918) 299-8336
Mailing address
715 W MAIN ST STE P, JENKS, OK 74037-3553
(918) 299-8338
(918) 299-8336
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
3307
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811047046
INDIVIDUAL NPI
OK
Enumeration date
09/10/2007
Last updated
08/19/2015
Update your record
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