Organization
MIRANOV CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON BRENT MIRANOV D.C. (OWNER/CHIROPRACTOR)
(580) 540-9630
Entity
Organization
Contact information
Practice address
109 E BROADWAY AVE, ENID, OK 73701-4117
(580) 540-9630
(580) 540-9631
Mailing address
109 E BROADWAY AVE, ENID, OK 73701-4117
(580) 540-9630
(580) 540-9631
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4061
OK
Other
Enumeration date
04/25/2014
Last updated
04/25/2014
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