# CRYSTAL CLEAR CHIROPRACTIC & REHAB

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023281003
- **Authorized official:** DR. CHRIS A VANNARATH D.C. (DOCTOR OF CHIROPRACTIC)
- **Authorized official phone:** (405) 314-0900

## Contact information

- **Practice address:** 12831 STRATFORD DR, APT. \# 207, OKLAHOMA CITY, OK 73120-8495
- **Practice address phone:** (405) 314-0900
- **Mailing address:** 2900 N CLASSEN BLVD, SUITE P, OKLAHOMA CITY, OK 73106-5422
- **Mailing address phone:** (405) 314-0900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 3837 | OK | Yes |

## Other

- **Enumeration date:** 04/10/2008
- **Last updated:** 04/10/2008