Jonathan D. Wren D.c.

NPI #1407049307 in Medford, Oklahoma

Provider Information

NPI Number: 1407049307
Entity Type: Organization
Organization Name: Jonathan D. Wren D.c.
Primary Specialty: Chiropractor
Enumeration Date: Aug 23, 2007
Last Updated: Jun 17, 2008

Practice Location

Address: 104 N MAIN ST
City: Medford
State: Oklahoma
ZIP Code: 73759-1232
Phone: (580) 747-6425

Authorized Official

Name: DR. JONATHAN D WREN, D.C.
Title: OWNER/DOCTOR
Phone: (580) 747-6425

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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