Individual
DR. TRAVIS EDWARD DUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
12806 E 101ST PL N, OWASSO, OK 74055-4662
(918) 408-1166
Mailing address
12806 E 101ST PL N, OWASSO, OK 74055-4662
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3919
OK
Other
Enumeration date
02/06/2009
Last updated
02/06/2009
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