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Organization

CHILDS CHIROPRACTIC & WELLNESS CENTER P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHARLES MARTIN CHILDS (CHIROPRACTIC)
(405) 366-9355
Entity
Organization

Contact information

Practice address
1330 N INTERSTATE DRIVE, NORMAN, OK 73072
(405) 366-9355
(405) 366-9393
Mailing address
1330 N INTERSTATE DRIVE, NORMAN, OK 73072
(405) 366-9355
(405) 366-9393

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3497
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
505-13-8138003
BLUE CROSS BLUE SHIELD
OK
Enumeration date
12/04/2006
Last updated
06/01/2011
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