Organization
WELLNESS CENTER OF SOUTHERN OKLAHOMA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN BAKER FORE D.O. (DOCTOR)
(580) 223-3737
Entity
Organization
Contact information
Practice address
1001 15TH AVE NW, ARDMORE, OK 73401-1803
(580) 223-3737
(580) 223-4801
Mailing address
1001 15TH AVE NW, ARDMORE, OK 73401-1803
(580) 223-3737
(580) 223-4801
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
09/17/2012
Last updated
02/13/2015
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