Wellness Center of Southern Oklahoma, INC

NPI #1871843920 in Ardmore, Oklahoma

Provider Information

NPI Number: 1871843920
Entity Type: Organization
Organization Name: Wellness Center of Southern Oklahoma, INC
Primary Specialty: Pain Medicine - Pain Medicine
Enumeration Date: Sep 17, 2012
Last Updated: Feb 13, 2015

Practice Location

Address: 1001 15TH AVE NW
City: Ardmore
State: Oklahoma
ZIP Code: 73401-1803
Phone: (580) 223-3737

Authorized Official

Name: DR. BENJAMIN BAKER FORE, D.O.
Title: DOCTOR
Phone: (580) 223-3737

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Allergy & Immunology	207K00000X
Family Medicine	207Q00000X
Pain Medicine - Pain Medicine — Pain Medicine	208VP0000X	Primary

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