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Organization

ACTIVE CARE CHIROPRACTIC PLLC

Active
Parent organization
ACTIVE CARE CHIROPRACTIC
Organization subpart
Yes

Provider details

NPI number
Legal business name
ACTIVE CARE CHIROPRACTIC
Authorized official
JASON BLOCK DC (OWNER)
(405) 455-5778
Entity
Organization

Contact information

Practice address
1405 S DOUGLAS BLVD, SUITE E, MIDWEST CITY, OK 73130-5267
(405) 455-5778
(405) 455-5408
Mailing address
1405 S DOUGLAS BLVD, SUITE E, MIDWEST CITY, OK 73130-5267
(405) 455-5778
(405) 455-5408

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3801
OK

Other

Enumeration date
02/15/2013
Last updated
01/22/2014
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