Organization
IDABEL CHIROPRACTIC CLINIC PLLC
Active
Other names
Ensley Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC L ENSLEY D.C. (OWNER/DOCTOR)
(580) 286-6546
Entity
Organization
Contact information
Practice address
1420 SE WASHINGTON ST, IDABEL, OK 74745-3448
(580) 286-6546
Mailing address
1420 SE WASHINGTON ST, IDABEL, OK 74745-3448
(580) 286-6546
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3768
OK
Other
Enumeration date
08/13/2006
Last updated
04/21/2009
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