Organization
TODD PARK, Y.C.C., INC.
Active
Other names
YUKON CHIROPRACTIC CLINIC PC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER TODD PARK DC (CHIROPRACTOR)
(405) 354-2084
Entity
Organization
Contact information
Practice address
401 W VANDAMENT AVE, STE 103, YUKON, OK 73099-4654
(405) 354-2084
(405) 265-2582
Mailing address
401 W VANDAMENT AVE, STE 103, YUKON, OK 73099-4654
(405) 354-2084
(405) 265-2582
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3487525
AETNA
OK
01
—
360605
ACN
OK
01
—
466759190-004
BCBS
OK
Enumeration date
04/18/2007
Last updated
06/10/2008
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