Organization
LIFE CLINIC OF OK PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON BURK DC (OWNER/PRESIDENT)
(952) 229-7464
Entity
Organization
Contact information
Practice address
2563 W MEMORIAL RD, OKLAHOMA CITY, OK 73134-8030
(952) 229-7464
Mailing address
PO BOX 549, CHANHASSEN, MN 55317-0549
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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