Individual
DR. CASSIDY DO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
804 NE 23RD ST, MOORE, OK 73160-8976
(405) 794-5000
Mailing address
12205 S WESTERN AVE APT 834, OKLAHOMA CITY, OK 73170-5961
(405) 826-7724
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4326
OK
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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