TIMOTHY R BLANTON

PONCA CITY, OK
NPI1821175076
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: OK  3102)
Enumeration Date2006-11-01
Last Update Date2007-07-08
Business Address
DR. TIMOTHY R BLANTON DC
101 E BROADWAY AVE
PONCA CITY, OK 74601-4302
Phone number: 580-765-2482
Mailing Address
DR. TIMOTHY R BLANTON DC
101 E BROADWAY AVE
PONCA CITY, OK 74601-4302
Phone number: 580-765-2482