| NPI | 1649465022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA MARK WEDMAN Chiropractor 918-299-8338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: OK 3307) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2015-08-19 |