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Organization

RED CANYON WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW PETER VIEJO DC (CHIROPRACTOR)
(918) 994-4606
Entity
Organization

Contact information

Practice address
9999 SOUTH MINGO RD., STE. B, TULSA, OK 74133-7413
(918) 994-4606
(918) 994-4607
Mailing address
9999 S MINGO RD STE B, TULSA, OK 74133-5144
(918) 994-4606
(918) 994-4607

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4091
OK

Other

Enumeration date
10/18/2017
Last updated
10/18/2017
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