Individual
KYLE SCOTT TANZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13501 N EASTERN AVE, OKLAHOMA CITY, OK 73131-1824
(405) 757-2079
Mailing address
13501 N EASTERN AVE, OKLAHOMA CITY, OK 73131-1824
(405) 757-2079
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4587
OK
Other
Enumeration date
01/24/2024
Last updated
02/09/2024
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