Individual
DR. JONATHAN SPIVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
802 N 1ST ST, MADILL, OK 73446-1489
(580) 677-2627
(580) 430-0595
Mailing address
802 N 1ST ST, MADILL, OK 73446-1489
(580) 677-2627
(580) 430-0595
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4124
OK
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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