BENJAMIN BAKER FORE

ARDMORE, OK
NPI1922063510
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208VP0000X Pain Medicine Pain Medicine
(Licence: OK  2273)
Enumeration Date2006-04-18
Last Update Date2016-04-15
Business Address
BENJAMIN BAKER FORE DO
1005 15TH AVE NW
ARDMORE, OK 73401-1810
Phone number: 580-223-4800
Mailing Address
BENJAMIN BAKER FORE DO
1001 15TH AVE NW
ARDMORE, OK 73401
Phone number: 580-223-3737