Organization
MAYNARD FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP CAMERON MAYNARD D.C. (CHIROPRACTOR)
(918) 704-3999
Entity
Organization
Contact information
Practice address
8922 S MEMORIAL DR STE C1, TULSA, OK 74133-4343
(918) 704-3999
Mailing address
147 S BROWN ST, VINITA, OK 74301-3410
(918) 704-3999
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3994
OK
Other
Enumeration date
12/07/2010
Last updated
12/07/2010
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