Individual
DR. BRENT MICHAEL BOOZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
412 N BROADWAY ST, MARLOW, OK 73055-1838
(580) 658-6604
(580) 658-5111
Mailing address
PO BOX 206, MARLOW, OK 73055-0206
(580) 658-6604
(580) 658-5111
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3781
OK
Other
Enumeration date
07/09/2006
Last updated
07/08/2007
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