Organization
SOONER CHIROPRACTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE KRISTOPHER WILSON D.C. (OWNER/CEO)
(405) 285-0300
Entity
Organization
Contact information
Practice address
788 N SANTA FE AVE, SUITE 110, EDMOND, OK 73003-4300
(405) 285-0300
(405) 285-0455
Mailing address
13612 BELL AVE, OKLAHOMA CITY, OK 73142-5915
(405) 285-0300
(405) 285-0455
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3391
OK
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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