Organization
GREEN COUNTRY CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEARA DWYER DC (OWNER)
(918) 553-6770
Entity
Organization
Contact information
Practice address
11560 N 135TH EAST AVE STE 101A, OWASSO, OK 74055-5756
(918) 553-6770
Mailing address
11560 N 135TH EAST AVE STE 101A, OWASSO, OK 74055-5756
(918) 553-6770
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4202
OK
Other
Enumeration date
09/04/2015
Last updated
08/24/2020
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