Organization
ELLIS CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE ELLIS D.C (OWNER/MANAGER)
(580) 721-7007
Entity
Organization
Contact information
Practice address
1802 S BROADWAY ST, MARLOW, OK 73055-8691
(580) 721-7007
(580) 721-7008
Mailing address
1802 S BROADWAY ST, MARLOW, OK 73055-8691
(580) 721-7007
(580) 721-7008
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4076
OK
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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