Organization
WIERSIG CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICKY D WIERSIG D.C. (OWNER)
(405) 737-5653
Entity
Organization
Contact information
Practice address
2013 S AIR DEPOT BLVD, OKLAHOMA CITY, OK 73110-5523
(405) 737-5653
(405) 733-5656
Mailing address
2013 S AIR DEPOT BLVD, MIDWEST CITY, OK 73110-5523
(405) 737-5653
(405) 733-5656
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3048
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
443545904001
BLUE CROSS
OK
Enumeration date
09/06/2007
Last updated
09/06/2007
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