Organization
WAYBACK CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAX GONDOLFO DC (OWNER)
(302) 650-2831
Entity
Organization
Contact information
Practice address
2432 W NEW ORLEANS ST, BROKEN ARROW, OK 74011-1590
(918) 938-1330
Mailing address
6105 W BIRMINGHAM CIR, BROKEN ARROW, OK 74011-1478
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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