Organization
HILLSIDE WELLNESS PLLLP
Active
Other names
Hillside wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMED MAYET ABDULRAHIM D.C (OWNER)
(918) 370-4042
Entity
Organization
Contact information
Practice address
2311 N 9TH ST, SUITE 101, BROKEN ARROW, OK 74012
(918) 806-4042
(918) 806-6044
Mailing address
2311 N 9TH ST, SUITE 101, BROKEN ARROW, OK 74012
(918) 994-6666
(918) 994-6667
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4171
OK
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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