Organization
ADVANCED CHIROPRACTIC AND REHABILITATION II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA KOCH D.C. (CEO)
(405) 455-7101
Entity
Organization
Contact information
Practice address
5601 SE 67TH ST, STE B, OKLAHOMA CITY, OK 73135-1704
(405) 455-7101
Mailing address
5601 SE 67TH ST, STE B, OKLAHOMA CITY, OK 73135-1704
(405) 455-7101
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/28/2016
Last updated
07/05/2016
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