Organization
MC CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN CHANCE SHEARWOOD D.C. (OWNER)
(918) 448-6180
Entity
Organization
Contact information
Practice address
2115 S HIGHWAY 69, WAGONER, OK 74467
(918) 448-6180
Mailing address
1303 NW 10TH ST, STIGLER, OK 74462-1569
(918) 448-6180
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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