Individual
DR. ZACKARY KRAIG EDELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
9101 S WESTERN AVE STE 112, OKLAHOMA CITY, OK 73139-2757
(405) 735-2744
Mailing address
24540 230TH ST, PURCELL, OK 73080-6762
(405) 826-0583
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4514
OK
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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