Organization
SPINAL DECOMPRESSION OF OKLAHOMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWIGHT J KORGAN M.D. (PRESIDENT)
(918) 341-1250
Entity
Organization
Contact information
Practice address
1408 N FLORENCE AVE, CLAREMORE, OK 74017-3159
(918) 341-1250
(918) 341-7443
Mailing address
1408 N FLORENCE AVE, CLAREMORE, OK 74017-3159
(918) 341-1250
(918) 341-7443
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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