Individual
DR. DEREK DURRELL COFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3515 E 31ST ST STE B, TULSA, OK 74135-1520
(918) 749-4263
(866) 543-9680
Mailing address
3515 E 31ST ST STE B, TULSA, OK 74135-1520
(918) 749-4263
(866) 543-9680
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3472
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3472
CHIROPRACTIC LICENSE
OK
Enumeration date
06/09/2006
Last updated
12/14/2021
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