Organization
MEM III INCORPORATED
Active
Other names
MILLS CHIROPRACTIC CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELVIN EUGENE MILLS III D.C. (OWNER)
(918) 437-5355
Entity
Organization
Contact information
Practice address
12502 E 21ST ST, TULSA, OK 74129-1803
(918) 437-5355
(918) 437-5356
Mailing address
12502 E 21ST ST, TULSA, OK 74129-1803
(918) 437-5355
(918) 437-5356
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2499
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
352609309-002
BLUE CROSS BLUE SHEILD
—
Enumeration date
05/22/2007
Last updated
11/17/2021
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