Organization
CENTRAL OKLAHOMA CHIROPRACTIC CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN RAY PHILLIPS DC (PRESIDENT)
(405) 598-6768
Entity
Organization
Contact information
Practice address
602 N BROADWAY ST, TECUMSEH, OK 74873-2020
(405) 598-6768
(405) 597-6770
Mailing address
602 N BROADWAY ST, PO BOX 589, TECUMSEH, OK 74873-2020
(405) 598-6768
(405) 597-6770
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3465
OK
Other
Enumeration date
08/07/2007
Last updated
07/24/2012
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