Individual
MR. EDWARD CARL DEEMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
832 LAKECREST DR, MOORE, OK 73170-1112
(405) 688-0088
Mailing address
832 LAKECREST DR, MOORE, OK 73170-1112
(405) 688-0088
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3397
OK
Other
Enumeration date
09/07/2006
Last updated
03/08/2009
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