Individual
DR. ANN ELIZABETH PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1596 S LEE ST, FORT GIBSON, OK 74434-8403
(918) 478-3388
(918) 478-3397
Mailing address
PO BOX 745, FORT GIBSON, OK 74434-0745
(918) 478-3388
(918) 478-3397
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3322
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3322
LICENSE NUMBER
OK
Enumeration date
06/09/2005
Last updated
05/03/2012
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