Provider Demographics
NPI:1518054832
Name:BEWLEY, RICK ALAN (DC)
Entity Type:Individual
Prefix:MR
First Name:RICK
Middle Name:ALAN
Last Name:BEWLEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5802 S MEMORIAL
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74145
Mailing Address - Country:US
Mailing Address - Phone:918-627-1100
Mailing Address - Fax:918-627-6504
Practice Address - Street 1:5802 S MEMORIAL
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74145
Practice Address - Country:US
Practice Address - Phone:918-627-1100
Practice Address - Fax:918-627-6504
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3063111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor