Organization
SHANDY D SELLS DC PC
Active
Other names
Sells Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANDY DALAN SELLS DC (OWNER PRES)
(405) 946-9715
Entity
Organization
Contact information
Practice address
3616 NW 58TH ST, OKLAHOMA CITY, OK 73112
(405) 946-9715
(405) 946-9756
Mailing address
3616 NW 58TH ST, OKLAHOMA CITY, OK 73112
(405) 946-9715
(405) 946-9756
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3777
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
243611503
PTAN MEDICARE
OK
Enumeration date
11/05/2007
Last updated
07/15/2008
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