Individual
DR. THOMAS CHARLES ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
122 MULBERRY LN, WILSON, OK 73463-6203
(580) 668-3600
(580) 668-3605
Mailing address
122 MULBERRY LN, WILSON, OK 73463-6203
(580) 668-3600
(580) 668-3605
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3267
OK
Other
Enumeration date
08/01/2006
Last updated
06/26/2014
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