Individual
DR. SAMUEL DISKERUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 W KENOSHA ST, BROKEN ARROW, OK 74012-8917
(918) 251-8889
Mailing address
900 W KENOSHA ST, BROKEN ARROW, OK 74012-8917
(918) 251-8889
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4565
OK
Other
Enumeration date
08/30/2023
Last updated
02/23/2026
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