Individual
DR. TROY WAYNE JACKSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3801 SOUTH BOULEVARD ST., EDMOND, OK 73013-5473
(405) 330-6655
(405) 340-3531
Mailing address
3801 SOUTH BOULEVARD ST., EDMOND, OK 73013-5473
(405) 330-6655
(405) 340-3531
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3241
OK
Other
Enumeration date
06/15/2006
Last updated
07/08/2007
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