Individual
DR. CHARLES MIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3515 E 31ST ST, TULSA, OK 74135-1520
(405) 334-2578
Mailing address
5772 BAYSHORE DR, SEMINOLE, FL 33772-7107
(405) 334-2578
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4264
OK
Other
Enumeration date
11/07/2017
Last updated
11/07/2017
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