Organization
MARR CHIROPRACTIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENDALL BLAIRE MARR D.C. (OWNER)
(918) 272-8054
Entity
Organization
Contact information
Practice address
435 E 2ND AVE, OWASSO, OK 74055-3208
(918) 272-8054
(918) 274-8044
Mailing address
435 E 2ND AVE, OWASSO, OK 74055-3208
(918) 272-8054
(918) 274-8044
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3678
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
409926329001
BC/BS
OK
01
—
7588590
AETNA
OK
01
—
8098553
CIGNA
OK
Enumeration date
08/27/2007
Last updated
08/27/2007
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