Individual
DR. NEIL M THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
9500 N 129TH EAST AVE, STE 109, OWASSO, OK 74055-5376
(918) 376-4117
(918) 376-4127
Mailing address
9500 N 129TH EAST AVE, STE 109, OWASSO, OK 74055-5376
(918) 376-4117
(918) 376-4127
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4112
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41253
BLUE CROSS BLUE SHIELD #
MT
Enumeration date
12/19/2006
Last updated
09/28/2017
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