Individual
DR. THOMAS A DERSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
20 S WATER, SAPULPA, OK 74066
(918) 224-6050
(918) 224-6029
Mailing address
20 S WATER, SAPULPA, OK 74066
(918) 224-6050
(918) 224-6029
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1690
OK
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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