Organization
JACKSON CHIROPRACTIC CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TROY W JACKSON D.C (PRESIDENT)
(405) 330-6655
Entity
Organization
Contact information
Practice address
3801 S BOULEVARD ST, EDMOND, OK 73013-5479
(405) 330-6655
(405) 340-3531
Mailing address
3801 S BOULEVARD ST, EDMOND, OK 73013-5479
(405) 330-6655
(405) 340-3531
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3241
OK
Other
Enumeration date
01/10/2007
Last updated
08/22/2020
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