Organization
GUTHRIE CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J BRETT GUTHRIE DC, APRN (PHYSICIAN)
(918) 967-4697
Entity
Organization
Contact information
Practice address
2000 E BROADWAY ST, SPIRO, OK 74959-3041
(918) 962-2439
(918) 967-8847
Mailing address
2000 E BROADWAY ST, SPIRO, OK 74959-3041
(918) 962-2439
(918) 967-8847
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2510
OK
363LF0000X
Family Nurse Practitioner
Primary
R0100325
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
400522271
MEDICARE GROUP NUMBER
OK
Enumeration date
07/11/2007
Last updated
01/14/2014
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