Organization
BP GROUP PC VERTEBRAE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM BRADLEY (CHIEF FINANCIAL OFFICER)
(479) 770-8984
Entity
Organization
Contact information
Practice address
1301 S I 35 SERVICE RD, MOORE, OK 73160-3182
(405) 759-2255
(405) 703-0404
Mailing address
200 S BLOOMINGTON ST STE I, LOWELL, AR 72745-9492
(479) 770-8984
(479) 770-0864
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/25/2018
Last updated
05/25/2018
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