Organization
405 CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAKE ALAN MATLOCK DC (OWNER)
(405) 634-0042
Entity
Organization
Contact information
Practice address
8901 S SANTA FE AVE STE A, OKLAHOMA CITY, OK 73139-8413
(405) 634-0042
Mailing address
8901 S SANTA FE AVE STE A, OKLAHOMA CITY, OK 73139-8413
(405) 996-0728
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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