Individual
RONALD E EDGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
709 FRISCO, CLINTON, OK 73601-4222
(580) 323-7090
Mailing address
709 FRISCO, CLINTON, OK 73601
(580) 323-7090
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1882
OK
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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