Organization
STOVER FAMILY CHIROPRACTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHILOAH ADAM STOVER D.C. (OWNER/PHYSICIAN)
(580) 225-9944
Entity
Organization
Contact information
Practice address
1710 W 3RD ST, SUITE 102, ELK CITY, OK 73644-5159
(580) 225-9944
(580) 225-9943
Mailing address
PO BOX 48, ELK CITY, OK 73648-0048
(580) 225-9944
(580) 225-9943
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3755
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417959883
INDIVIDUAL NPI
OK
01
—
1932382462
GROUP NPI
OK
01
—
V07376
UPIN
OK
Enumeration date
12/06/2007
Last updated
10/26/2011
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