Organization
CRYSTAL CLEAR CHIROPRACTIC & REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRIS A VANNARATH D.C. (DOCTOR OF CHIROPRACTIC)
(405) 314-0900
Entity
Organization
Contact information
Practice address
12831 STRATFORD DR, APT. # 207, OKLAHOMA CITY, OK 73120-8495
(405) 314-0900
Mailing address
2900 N CLASSEN BLVD, SUITE P, OKLAHOMA CITY, OK 73106-5422
(405) 314-0900
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
3837
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548441181
NPI INDIVIDUAL
OK
Enumeration date
04/10/2008
Last updated
04/10/2008
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