Organization
CODY ELLEDGE D.C. PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CODY ELLEDGE D.C. (SOLE MEMBER)
(405) 703-3033
Entity
Organization
Contact information
Practice address
5715 N WESTERN AVE STE B, OKLAHOMA CITY, OK 73118-1239
(405) 703-3033
Mailing address
5715 N WESTERN AVE STE B, OKLAHOMA CITY, OK 73118-1239
(405) 703-3033
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3835
OK
171100000X
Acupuncturist
—
—
Other
Enumeration date
07/05/2013
Last updated
07/05/2013
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