Organization
DECLUE MEDICAL, LLC
Active
Other names
DECLUEMEDICAL, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS EDWARD DECLUE D.C. (DOCTOR)
(918) 396-3777
Entity
Organization
Contact information
Practice address
208 BULLDOG BLVD, SKIATOOK, OK 74070-1073
(918) 396-3777
(918) 396-3066
Mailing address
208 BULLDOG BLVD, SKIATOOK, OK 74070-1073
(918) 396-3777
(918) 396-3066
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2640
OK
Other
Enumeration date
11/13/2007
Last updated
03/05/2010
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