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Dr. Timothy R Blanton, DC
Chiropractor in Ponca City, Oklahoma
NPI 1821175076

Timothy R Blanton is a Chiropractor based in Ponca City, OK. Timothy R Blanton practices in Ponca City, OK and has the professional credentials of DC. The NPI Number for Timothy R Blanton is 1821175076 and holds a License No. 3102 (Oklahoma).

The current practice location address for Timothy R Blanton is 101 E Broadway Ave, Ponca City, OK and can be reached out via phone at 580-765-2482 and via fax at 580-765-4852.

Location: 101 E Broadway Ave, Ponca City, OK, 74601-4302
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821175076
Provider Name
Timothy R Blanton
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
101 E Broadway Ave, Ponca City, OK, 74601-4302
Phone Number
580-765-2482
Fax Number
580-765-4852
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00288810 01 OK RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
101 E Broadway Ave
City
Ponca City
State
Oklahoma
Zip
74601-4302
Phone Number
580-765-2482
Fax Number
580-765-4852
person
Provider Business Mailing Address Details
Address
101 E Broadway Ave
City
Ponca City
State
Oklahoma
Zip
74601-4302
Phone Number
580-765-2482
Fax Number
580-765-4852
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
3102 (Oklahoma)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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