Organization
MILLER CHIROPRACTIC CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE GLENN MILLER D.C. (OWNER)
(918) 683-9777
Entity
Organization
Contact information
Practice address
300B W SHAWNEE ST, MUSKOGEE, OK 74401-4151
(918) 683-9777
Mailing address
300B W SHAWNEE ST, MUSKOGEE, OK 74401-4151
(918) 683-9777
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
12/28/2010
Last updated
10/02/2014
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