Individual
DR. RONALD ALBERT TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
310 FAIRVIEW AVE, PONCA CITY, OK 74601-2001
(580) 762-6335
(580) 762-4210
Mailing address
173 WHIPPOORWILL RD, PONCA CITY, OK 74604-6092
(580) 762-4246
(580) 762-4210
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8265
OK
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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