Individual
MR. LADON DWIGHT POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4001 N CLASSEN BLVD STE 105, OKLAHOMA CITY, OK 73118-2668
(405) 524-2424
Mailing address
4001 N CLASSEN BLVD STE 105, OKLAHOMA CITY, OK 73118-2668
(405) 524-2424
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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