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Chiropractic Providers Chiropractor

Provider NPI: 1821574914

Provider Information:
Gender: M
Not Sole Proprietor

Practice Location:
3701 S HARVARD AVE STE D  TULSA, OK 74135-2282 US
Tel: 918-938-6801  Fax: --

Business Mailing Address:
3701 S HARVARD AVE STE D  TULSA, OK 74135-2282 US
Tel: 918-938-6801  Fax: --

NPI Information:
NPI: 1821574914
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 111N00000X





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