Individual
DR. JOHN BRADLEY EITZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
523 S INDEPENDENCE ST, ENID, OK 73701-5631
(580) 237-5007
(580) 234-6851
Mailing address
123 W BROADWAY, FAIRVIEW, OK 73737-2009
(580) 227-4200
(580) 234-6851
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3805
OK
Other
Enumeration date
10/11/2006
Last updated
11/29/2018
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