Organization
THE BACK STOP LLC
Active
Organization
THE BACK STOP LLC
Active
Other names
The Back Stop
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A KIMBLE JR. DC (CHIROPRACTOR/OWNER)
(405) 265-3920
Entity
Organization
Contact information
Practice address
373 S YUKON PKWY STE C, YUKON, OK 73099-4597
(405) 265-3920
(405) 265-3922
Mailing address
373 S YUKON PKWY STE C, YUKON, OK 73099-4597
(405) 265-3920
(405) 265-3922
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
4154
OK
261QP3300X
Pain Clinic/Center
Primary
4154
OK
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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