Organization
SHAWNEE SPINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH HOLMAN (OWNER)
(405) 567-7716
Entity
Organization
Contact information
Practice address
1049 VISION BLVD STE 700, SHAWNEE, OK 74804-1221
(405) 567-7716
Mailing address
407 N JIM THORPE BLVD, PRAGUE, OK 74864-4563
(405) 567-7716
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
—
—
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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