Organization
DERSTINE CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS A DERSTINE D.C. (OWNER)
(918) 224-6050
Entity
Organization
Contact information
Practice address
20 S WATER ST, SAPULPA, OK 74066-4232
(918) 224-6050
(918) 224-6029
Mailing address
20 S WATER ST, SAPULPA, OK 74066-4232
(918) 224-6050
(918) 224-6029
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1691
OK
Other
Enumeration date
06/06/2007
Last updated
08/22/2020
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