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Individual

DR. DAVID WAYNE FIKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
4835 S FULTON AVE, SUITE 102, TULSA, OK 74135-6995
(918) 664-8281
(918) 664-8368
Mailing address
4835 S FULTON AVE, SUITE 102, TULSA, OK 74135-6995
(918) 664-8281
(918) 664-8368

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3269
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10884537
CAQH ID#
OK
01
5725051
AETNA
OK
Enumeration date
09/28/2006
Last updated
04/26/2012
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