Individual
ZACHARY BLANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4705 W URBANA ST, BROKEN ARROW, OK 74012
(918) 872-8653
Mailing address
4705 W URBANA ST, BROKEN ARROW, OK 74012
(918) 872-8653
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4259
OK
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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