Individual
DR. WILLIAM LEWIS BOTHWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1050 W VANDAMENT AVE, YUKON, OK 73099-3877
(405) 354-5753
Mailing address
1050 W VANDAMENT AVE, YUKON, OK 73099-3877
(405) 354-5753
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4311
OK
Other
Enumeration date
12/06/2018
Last updated
12/13/2018
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