Individual
MR. BROC S DERRYBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5700 SE 74TH ST, STE 300, OKLAHOMA CITY, OK 73135
(405) 701-5777
(405) 701-5778
Mailing address
5700 SE 74TH ST., STE 300, OKLAHOMA CITY, OK 73135
(405) 701-5777
(405) 701-5778
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3816
OK
Other
Enumeration date
04/16/2007
Last updated
02/05/2016
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