Individual
DR. TYLER RAY BODIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1021 SW. 19TH ST., MOORE, OK 73160-2806
(405) 703-2694
(405) 703-2848
Mailing address
12445 ALAMEDA TRACE CIR, #312, AUSTIN, TX 78727-6390
(512) 297-2231
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3813
OK
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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