Individual
MATT C WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
401 E. DOWNING, TAHLEQUAH, OK 74464
(918) 456-1300
(918) 456-2800
Mailing address
401 EAST DOWNING, TAHLAQUAH, OK 74464
(918) 456-1300
(918) 456-2800
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3356
OK
Other
Enumeration date
09/13/2005
Last updated
07/08/2007
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