Individual
ROBERT LANCE WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
9104 E 62ND ST, TULSA, OK 74133-6443
(918) 461-9490
(918) 461-9690
Mailing address
9104 E 62ND ST, TULSA, OK 74133-6443
(918) 461-9490
(918) 461-9690
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3539
KS
Other
Enumeration date
06/26/2006
Last updated
01/09/2020
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