Organization
ACTIVE CARE EDMOND PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON L BLOCK DC (CHIROPRACTOR)
(405) 315-4119
Entity
Organization
Contact information
Practice address
3201 E MEMORIAL RD STE B, EDMOND, OK 73013-7093
(405) 478-1507
(405) 478-1592
Mailing address
3201 E MEMORIAL RD STE B, EDMOND, OK 73013-7093
(405) 478-1507
(405) 478-1592
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699833244
NPI
OK
Enumeration date
01/03/2018
Last updated
01/03/2018
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