Individual
DR. TRACY L. STANDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
12707 EAST 86TH STREET NORTH, OWASSO, OK 74055
(918) 272-7432
(918) 272-7448
Mailing address
12707 EAST 86TH STREET NORTH, OWASSO, OK 74055
(918) 272-7432
(918) 272-7448
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
2448
OK
Other
Enumeration date
11/20/2006
Last updated
03/29/2010
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