Organization
TOBE THACKER
Active
Other names
Broken Bow Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOBE THACKER DC (OWNER)
(580) 584-3385
Entity
Organization
Contact information
Practice address
1605 S PARK DR, BROKEN BOW, OK 74728-5724
(580) 584-3385
Mailing address
1605 S PARK DR, BROKEN BOW, OK 74728-5724
(580) 584-3385
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1704
ID
Other
Enumeration date
02/11/2016
Last updated
01/14/2020
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