Individual
PHILIP CAMERON MAYNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8922 S MEMORIAL DR STE C1, TULSA, OK 74133-4343
(918) 704-3999
Mailing address
8922 S MEMORIAL DR STE C1, TULSA, OK 74133-4343
(918) 704-3999
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3994
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OKB6037
PTAN#
OK
Enumeration date
11/30/2010
Last updated
06/25/2024
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