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Organization

NORTHWEST CHIROPRACTIC CLINIC, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL D MEIER CHIROPRACTOR (CO-OWNER)
(580) 327-3403
Entity
Organization

Contact information

Practice address
1716 COLLEGE BLVD, ALVA, OK 73717-3414
(580) 327-3403
(580) 327-3403
Mailing address
1716 COLLEGE BLVD, ALVA, OK 73717-3414
(580) 327-3403
(580) 327-3403

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
731111089-001
BLUE CROSS BLUE SIELD PIN
OK
01
731159950-001
BLUE CROSS BLUE SHIELD
OK
Enumeration date
03/09/2007
Last updated
06/25/2008
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