Organization
BLACK'S CHIROPRACTIC CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ED J BLACK D.C. (PRESIDENT)
(918) 358-3509
Entity
Organization
Contact information
Practice address
510 N BROADWAY ST, CLEVELAND, OK 74020-2206
(918) 358-3509
(918) 358-3026
Mailing address
510 N BROADWAY ST, CLEVELAND, OK 74020-2206
(918) 358-3509
(918) 358-3026
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
—
—
Other
Enumeration date
05/14/2007
Last updated
08/24/2007
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