Individual
DR. SHANE THOMAS WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1406 N POCOLA BLVD, POCOLA, OK 74902-3139
(918) 436-7979
Mailing address
1406 N POCOLA BLVD, POCOLA, OK 74902-3139
(918) 436-7979
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3875
OK
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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