Organization
ARDMORE CHIROPRACTIC CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VANCE A LONG D.C. (OWNER)
(580) 223-8200
Entity
Organization
Contact information
Practice address
1702 N COMMERCE ST, SUITE E, ARDMORE, OK 73401-1525
(580) 223-8200
(580) 223-8212
Mailing address
1702 N COMMERCE ST, SUITE E, ARDMORE, OK 73401-1525
(580) 223-8200
(580) 223-8212
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200096760A
—
OK
Enumeration date
05/01/2007
Last updated
06/24/2008
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