Organization
BALANCED WELLNESS CHIROPRACTIC PHYSICIANS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUSTIN EUGENE SCHMIDT D.C. (MEMBER MANAGER)
(405) 509-7017
Entity
Organization
Contact information
Practice address
6516 N OLIE AVE, SUITE D, OKLAHOMA CITY, OK 73116-7226
(405) 509-7017
Mailing address
PO BOX 3033, EDMOND, OK 73083-3033
(405) 509-7017
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3927
OK
Other
Enumeration date
06/24/2009
Last updated
11/16/2011
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