Organization
GODFREY CHIROPRACTIC CLINIC PLLC
Active
Other names
John T Godfrey
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN TERRY GODFREY D.C. (OWNER)
(405) 341-0101
Entity
Organization
Contact information
Practice address
822 W EDMOND RD, SUITE G, EDMOND, OK 73003-5670
(405) 341-0101
(405) 341-9040
Mailing address
822 W EDMOND RD, SUITE G, EDMOND, OK 73003-5670
(405) 341-0101
(405) 341-9040
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2437
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73-1305697-001
BLUE CROSS BLUE SHIELD
—
Enumeration date
09/05/2007
Last updated
05/10/2011
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