Organization
FIKE CHIROPRACTIC CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID WAYNE FIKE D.C. (DOCTOR)
(918) 664-8281
Entity
Organization
Contact information
Practice address
4835 S FULTON AVE, SUITE 102, TULSA, OK 74135-6995
(918) 664-8281
(918) 664-8368
Mailing address
4835 SOUTH FULTON AVENUE, SUITE 102, TULSA, OK 74135
(918) 664-8281
(918) 664-8368
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3269
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
447783003001
BLUE CROSS BLUE SHIELD
OK
01
—
5725051
AETNA
OK
Enumeration date
04/17/2007
Last updated
08/14/2012
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