Organization
BODIN CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYLER RAY BODIN D.C. (PRESIDENT)
(405) 703-2694
Entity
Organization
Contact information
Practice address
1021 SW 19TH ST, MOORE, OK 73160-2806
(405) 703-2694
(405) 703-2848
Mailing address
1021 SW 19TH ST, MOORE, OK 73160-2806
(405) 703-2694
(405) 703-2848
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3813
OK
Other
Enumeration date
03/06/2007
Last updated
03/25/2009
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