Organization
BACK2HEALTH OF TULSA P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MYRON DALE RATZLAFF D.C. (OWNER)
(918) 322-3000
Entity
Organization
Contact information
Practice address
14226 S ELM ST, #2, GLENPOOL, OK 74033-3525
(918) 322-3000
(918) 322-3012
Mailing address
PO BOX 459, GLENPOOL, OK 74033-0459
(918) 322-3000
(918) 322-3012
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
3305
OK
Other
Enumeration date
03/23/2007
Last updated
08/22/2020
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