Organization
MILLER CHIROPRACTIC CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE GLEN MILLER D.C. (OWNER)
(918) 456-1300
Entity
Organization
Contact information
Practice address
401 E DOWNING ST, TAHLEQUAH, OK 74464-3015
(918) 456-1300
(918) 456-2800
Mailing address
401 E DOWNING ST, TAHLEQUAH, OK 74464-3015
(918) 456-1300
(918) 456-2800
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3042
OK
Other
Enumeration date
10/27/2006
Last updated
03/31/2009
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