Organization
DWYER CHIROPRACTIC CLINIC PC
Active
Other names
Dwyer Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARVEY WADE DWYER D.C. (DOCTOR/OWNER)
(405) 733-3955
Entity
Organization
Contact information
Practice address
1401 S DOUGLAS BLVD, STE W, MIDWEST CITY, OK 73130-5200
(405) 733-3955
(405) 733-4014
Mailing address
1401 S DOUGLAS BLVD, STE W, MIDWEST CITY, OK 73130-5200
(405) 733-3955
(405) 733-4014
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3647
OK
111N00000X
Chiropractor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3647
STATE LIC NUMBER
OK
Enumeration date
02/02/2007
Last updated
11/18/2011
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