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Organization

RYAN MARSHALL PLLC

Active
Other names
Marshall Chiropractic & Wellness Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RYAN DANE MARSHALL DC (OWNER MANAGER)
(918) 494-0929
Entity
Organization

Contact information

Practice address
6703 EAST 81ST STREET, STE E, TULSA, OK 74133-4157
(918) 494-0929
(918) 494-0927
Mailing address
6703 EAST 81ST STREET, STE E, TULSA, OK 74133-4157
(918) 494-0929
(918) 494-0927

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3720
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200069340A
OK
Enumeration date
12/08/2006
Last updated
04/25/2011
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