Organization
SYNERGY WELLNESS & CHIROPRACTIC PLLC
Active
Other names
Synergy Wellness & Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERESA ANN VESTAL D.C. (OWNER)
(405) 494-7007
Entity
Organization
Contact information
Practice address
373 S YUKON PKWY, STE. C, YUKON, OK 73099-4596
(405) 494-7007
(405) 494-7006
Mailing address
373 S YUKON PKWY, STE. C, YUKON, OK 73099-4596
(405) 494-7007
(405) 494-7006
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3965
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12351889
CAQH
—
Enumeration date
05/17/2012
Last updated
05/17/2012
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